Individual provider Active NPI

Cynthia Lucas, LMSW

  • Clinical Social Worker
  • Jenison, MI
National Provider Identifier
1033397161
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1122849 Issued in MI
Practice address
1346 Baldwin St Unit 13
Jenison, MI 49428-8937
Phone
(616) 396-2972
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 L1122849 MI Primary

Addresses

Primary practice location

1346 Baldwin St Unit 13
Jenison, MI 49428-8937

Mailing address

7451 Sandyhill Dr
Jenison, MI 49428-7774

Other practice location 1

7451 Sandyhill Dr
Jenison, MI 49428-7774
Phone (616) 862-6230

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

LicenseStateTypeSpecialty
L1122849MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Holland, Inc. Past Accepting new patients
Hospice of Holland, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1033397161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 SANDYHILL DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 BALDWIN ST UNIT 13",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288937",
            "telephone_number": "616-396-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7451 Sandyhill Dr",
            "address_purpose": "LOCATION",
            "city": "Jenison",
            "state": "MI",
            "postal_code": "494287774",
            "country_code": "US",
            "telephone_number": "616-862-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L1122849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.