Active NPI
Lucinda Tacha, LCSW
- Social Worker
- Limon, CO
National Provider Identifier
1063415560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 992478
- Practice address
- 820 1St St.
Limon, CO 80828-1120 - Phone
- (719) 775-2367
- Fax
- (719) 775-2365
- NPI assigned
- May 27, 2005
- Last updated
- Apr 4, 2022
- 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 | 992478 | CO | Primary |
Addresses
Primary practice location
820 1St St.
Limon, CO 80828-1120
Mailing address
111 6TH St
Hugo, CO 80821-2002
Phone (719) 632-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92226779 | Medicaid | CO |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1063415560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 6TH ST",
"city": "HUGO",
"state": "CO",
"postal_code": "808212002",
"telephone_number": "719-632-5700",
"fax_number": "719-344-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 1ST ST.",
"city": "LIMON",
"state": "CO",
"postal_code": "808281120",
"telephone_number": "719-775-2367",
"fax_number": "719-775-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACHA",
"first_name": "LUCINDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "992478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92226779",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Limon, CO
- Amber Lee Satz, PHARMD
- Smithburg Retail Enterprise, Inc. (Hoffman Drug)
- Ryan Lee Smithburg, RPH
- Strasburg Dental Group
- Kirsten Tacha, RDH
- Shelby Tagtmeyer, DENTAL HYGIENIST
- Thrive Healthcare LLC (Hoffman Medical Supply)
- Town of Limon (Limon Ambulance Service)
- Roxanne Upshaw, LPC
- John Mark Westfall, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.