Provider Demographics
NPI:1457468605
Name:CAIN, VERNON LYLE (LISW)
Entity Type:Individual
Prefix:MR
First Name:VERNON
Middle Name:LYLE
Last Name:CAIN
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 CHERRY HILL LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8325
Mailing Address - Country:US
Mailing Address - Phone:513-282-6861
Mailing Address - Fax:937-704-0255
Practice Address - Street 1:448 CHERRY HILL LN
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8325
Practice Address - Country:US
Practice Address - Phone:513-282-6861
Practice Address - Fax:937-704-0255
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00059971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical