Provider Demographics
NPI:1598802019
Name:CLIFTON, CECIL LAUREL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CECIL
Middle Name:LAUREL
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10888 BECK RD
Mailing Address - Street 2:
Mailing Address - City:ELBERFELD
Mailing Address - State:IN
Mailing Address - Zip Code:47613-9220
Mailing Address - Country:US
Mailing Address - Phone:812-480-3486
Mailing Address - Fax:
Practice Address - Street 1:10888 BECK RD
Practice Address - Street 2:
Practice Address - City:ELBERFELD
Practice Address - State:IN
Practice Address - Zip Code:47613-9220
Practice Address - Country:US
Practice Address - Phone:812-480-3486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002722A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical