Individual provider Active NPI

Amanda S. Cecil, LCSW

  • Clinical Social Worker
  • Central City, KY
National Provider Identifier
1467906123
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252076 Issued in KY
Practice address
600 W Everly Brothers Blvd
Central City, KY 42330-1884
Phone
(270) 903-6099
NPI assigned
Aug 11, 2016
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 252076 KY Primary

Addresses

Primary practice location

600 W Everly Brothers Blvd
Central City, KY 42330-1884

Mailing address

600 W Everly Brothers Blvd Ste 304
Central City, KY 42330-1884
Phone (270) 903-6099

Other names 1

  • Mandi Cecil Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323002456 KY Practitioner - Clinical Social Worker 4789091505

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 W Broad St
Central City, KY 42330-1540

600 W Everly Brothers Blvd
Central City, KY 42330-1884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252076KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winds of Change Marriage and Family Therapy, LLC. Clinical CurrentSince Feb 4, 2024 Accepting new patients
Winds of Change Marriage and Family Therapy LLC Clinical CurrentSince Mar 17, 2021 Accepting new patients
Stability Counseling and Associates LLC Clinical PastSince Dec 18, 2022 Accepting new patients
Lighthouse Counseling Services, Inc. Clinical PastSince Dec 19, 2012 Accepting new patients

Locations

600 W Everly Brothers Blvd
Central City, KY 42330
Phone (270) 499-8268

600 W Everly Brothers Blvd
Ste 304
Central City, KY 42330

100 W 3rd St
Ste 304
Owensboro, KY 42303
Phone (270) 315-1443

Organizations & group practices 4

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1467906123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W EVERLY BROTHERS BLVD STE 304",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301884",
            "telephone_number": "270-903-6099",
            "fax_number": "270-698-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W EVERLY BROTHERS BLVD",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301884",
            "telephone_number": "270-903-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "AMANDA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "CECIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Central City, KY

Sources for this page

Verify at the official NPI Registry.