Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
CYNTHIA J WAKEFIELD
Active
Individual
CYNTHIA J WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW84805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MED MENTOR
CSHCENTERSAC
CA
Enumeration date
03/01/2007
Last updated
05/16/2019
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