Individual provider Active NPI

Lynn M Cepican, MSW LCSW

  • Clinical Social Worker
  • Surprise, AZ
National Provider Identifier
1720174964
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16141 Issued in AZ
Practice address
15282 W Brookside LN Ste 110
Surprise, AZ 85374-2448
Phone
(480) 469-1892
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.012694 IL
Clinical Social Worker 1041C0700X 16141 AZ Primary

Addresses

Primary practice location

15282 W Brookside LN Ste 110
Surprise, AZ 85374-2448

Mailing address

PO Box 5686
Sun City West, AZ 85376-5686
Phone (480) 469-1892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090515000260 IL Practitioner - Clinical Social Worker 6002965308 Practice locations: Orland Park, IL; Frankfort, IL
I20231109002646 AZ Practitioner - Clinical Social Worker 6002965308 Practice locations: Sun City West, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13540 W Camino del Sol
Suite 12
Sun City West, AZ 85375-4435
Phone (480) 469-1892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012694ILMDClinical Social Worker
1267OKMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1720174964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5686",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765686",
            "telephone_number": "480-469-1892",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15282 W BROOKSIDE LN STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742448",
            "telephone_number": "480-469-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPICAN",
        "first_name": "LYNN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012694",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.