Provider Demographics
NPI:1487814083
Name:CECIL, HARRY FRANCIS (LCSW)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:FRANCIS
Last Name:CECIL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 E EUCLID AVE
Mailing Address - Street 2:SUIE 316
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1783
Mailing Address - Country:US
Mailing Address - Phone:859-509-0212
Mailing Address - Fax:
Practice Address - Street 1:836 E EUCLID AVE
Practice Address - Street 2:SUIE 316
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1783
Practice Address - Country:US
Practice Address - Phone:859-509-0212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0936301Medicare UPIN
KY9363Medicare PIN