Provider Demographics
NPI:1720174964
Name:CEPICAN, LYNN M (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:M
Last Name:CEPICAN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5686
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85376-5686
Mailing Address - Country:US
Mailing Address - Phone:480-469-1892
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:15282 W BROOKSIDE LN STE 110
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2448
Practice Address - Country:US
Practice Address - Phone:480-469-1892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0126941041C0700X
AZ161411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical