WASHINGTON CISCO (LCSW) – Clinical Social Worker, NPI 1457698912

Clinical Social Worker

WASHINGTON CISCO (LCSW) is a healthcare provider. based in Centralia, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149.005632 (IL). The NPI Number for WASHINGTON CISCO (LCSW) is 1457698912

Main info

Male

Name

WASHINGTON CISCO (LCSW)

NPI

1457698912

Phone

(618) 249-6863

Address

2870 E JEFFERSON ST

Enumeration Date

3 January 2013

Last Update Date

3 January 2013

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for WASHINGTON CISCO (LCSW)

2870 E JEFFERSON ST
CENTRALIA, IL 628018530
Phone: (618) 249-6863
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62801)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for WASHINGTON CISCO (LCSW)?

WASHINGTON CISCO (LCSW) — NPI 1457698912 — is the standard way to identify this listing.

Is WASHINGTON CISCO (LCSW) listed as active for patients and plans?

The listing shows WASHINGTON CISCO (LCSW) as active in the NPI system.

What taxonomy line describes WASHINGTON CISCO (LCSW)?

For research purposes, treat WASHINGTON CISCO (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.

Does WASHINGTON CISCO (LCSW) list a practice location?

Patients near Centralia, Illinois may find WASHINGTON CISCO (LCSW) in results; validate coverage separately.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.