Provider Demographics
NPI:1427516509
Name:MARTINEZ, CYNTHIA CASTRO (SWAICL)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CASTRO
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:SWAICL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 N. WEST AVE. #124
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223
Mailing Address - Country:US
Mailing Address - Phone:210-749-5157
Mailing Address - Fax:
Practice Address - Street 1:30905 FINN SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:210-749-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1761401041C0700X
WASC610420121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical