Active NPI
Cynthia P Cecil, LSW
- Social Worker
- Upland, CA
National Provider Identifier
1790832004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW27947
- Practice address
- 1126 W Foothill Blvd
Upland, CA 91786-3768 - Phone
- (909) 982-8641
- Fax
- (909) 982-8642
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW27947 | CA | Primary |
Addresses
Primary practice location
1126 W Foothill Blvd
Upland, CA 91786-3768
Mailing address
767 Elmhurst Cir
Claremont, CA 91711-2946
Phone (412) 580-7146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW27947 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1790832004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 ELMHURST CIR",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917112946",
"telephone_number": "412-580-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 W FOOTHILL BLVD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863768",
"telephone_number": "909-982-8641",
"fax_number": "909-982-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECIL",
"first_name": "CYNTHIA",
"middle_name": "P",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW27947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.