Individual provider Active NPI

Eric Cecys, LSW, LICDC

  • Clinical Social Worker
  • Eaton, OH
National Provider Identifier
1326405192
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304959 Issued in OH
Practice address
228 N Barron St
Eaton, OH 45320-1704
Phone
(937) 456-7694
Fax
(937) 456-7753
NPI assigned
Jan 25, 2016
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2005468 OH
Clinical Social Worker 1041C0700X I.2304959 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X IICDC.162018 OH

Addresses

Primary practice location

228 N Barron St
Eaton, OH 45320-1704

Mailing address

228 N Barron St
Eaton, OH 45320-1704
Phone (937) 456-7694

Other names 1

  • Mr. Eric Martin Cecys Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IICDC.162018OHMDAddiction (Substance Use Disorder) Counselor
S.2005468OHMDSocial Worker
I.2304959OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Darke County Recovery Services CurrentSince Feb 10, 2024 Accepting new patients

Locations

228 N Barron St
Eaton, OH 45320
Phone (937) 456-7694

212 E Main St
Greenville, OH 45331
Phone (937) 423-6344

600 Walnut St
Greenville, OH 45331
Phone (937) 548-6842

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/recoveryandwellnessohio/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1326405192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N BARRON ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201704",
            "telephone_number": "937-456-7694",
            "fax_number": "937-456-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N BARRON ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201704",
            "telephone_number": "937-456-7694",
            "fax_number": "937-456-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECYS",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "LSW, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005468",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304959",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "IICDC.162018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "CECYS",
            "middle_name": "MARTIN",
            "prefix": "MR.",
            "credential": "LSW, LICDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.