Active NPI
Eric Cecys, LSW, LICDC
- Clinical Social Worker
- Eaton, OH
National Provider Identifier
1326405192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2304959
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IICDC.162018 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2005468 | OH | MD | Social Worker |
| I.2304959 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darke County Recovery Services | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Greenville, OH
- NPI 1508287764
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.