Lucid Clinical Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LUCID CLINICAL SERVICES LLC

Doing business as

Lucid Clinical Services LLC

Practice address

11821 Parklawn Dr Ste 220
Rockville, MD 20852-2539

Phone

(301) 453-5162

NPI assigned

May 3, 2022

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Shelton, DRNPI 1639434962

Title

Director

Phone

(203) 313-3463

Specialties & licenses 1

Addresses

Other names 1

• Lucid Clinical Services LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Shelton, LCSW

  • Clinical Social Worker
  • Camp Lejeune, NC
  • NPI 1639434962
  NPD Authorized official
• Clarissa Margaret Zies

  • Psychologist
  • Rockville, MD
  • NPI 1518655216
  NPD

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1053056226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 PARKLAWN DR STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 PARKLAWN DR STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522539",
            "telephone_number": "301-453-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-313-3463",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucid Clinical Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.