| Amanda Cecil, Lcsw | |
|
600 W Everly Brothers Blvd Central City KY 42330-1884 | |
| (270) 903-6099 | |
| Not Available |
| Full Name | Amanda Cecil, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 600 W Everly Brothers Blvd, Central City, Kentucky |
| Authorized Official Name and Position | Amanda Sybil Cecil (OWNER/THERAPIST) |
| Authorized Official Contact | 2709036099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cecil, Lcsw 600 W Everly Brothers Blvd Central City KY 42330-1884 Ph: (270) 903-6099 | Amanda Cecil, Lcsw 600 W Everly Brothers Blvd Central City KY 42330-1884 Ph: (270) 903-6099 |
| NPI Number | 1891302824 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 3870900699 |
|---|---|
| Medicare Enrollment ID | O20210323002241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891302824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Kay Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306304969 PECOS PAC ID: 4789914805 Enrollment ID: I20191002002123 |
| Provider Name | Amanda S. Cecil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467906123 PECOS PAC ID: 4789091505 Enrollment ID: I20210323002456 |
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