Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Cynthia Marie Antonio Siadat, LCSW

Individual provider Counselor · NPI 1033371877

Mrs. Cynthia Marie Antonio Siadat, LCSW is a Counselor in Culver City, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 76525 (CA)
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X · Licence ASW70758 (CA)

Record details

NPI number1033371877
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESJune 19, 2017

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