Individual provider Active NPI

Christina Lucas, MSW

  • Clinical Social Worker
  • Butler, PA
National Provider Identifier
1063507911
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014419 Issued in PA
Practice address
205B S Duffy Rd Ste 2
Butler, PA 16001-2708
Phone
(724) 256-9881
Fax
(724) 256-9883
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 CW014419 PA Primary

Addresses

Primary practice location

205B S Duffy Rd Ste 2
Butler, PA 16001-2708

Mailing address

300 S Jefferson St
Kittanning, PA 16201-2416
Phone (724) 545-4540

Other practice location 1

300 S Jefferson St
Kittanning, PA 16201-2416
Phone (724) 545-4540

Other identifiers 4

IdentifierTypeStateIssuer
000533733OtherPAHIGHMARK
289997OtherPAUBH
464677OtherPAVALUE OPTIONS
7735267OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000002 PA Practitioner - Clinical Social Worker 0244215267 Practice locations: Butler, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

128 N Washington St
Butler, PA 16001-5240
Phone (724) 256-9881

205 B S Duffy Rd
Suite 2
Butler, PA 16001-2708
Phone (724) 256-7881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014419PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Change LLC CurrentSince Oct 16, 2022 Accepting new patients
Family Psychological Associates,LTD. Past Accepting new patients

Locations

205 S Duffy Rd
Ste 2
Butler, PA 16001
Phone (724) 256-7881

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1063507911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JEFFERSON ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012416",
            "telephone_number": "724-545-4540",
            "fax_number": "724-548-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205B S DUFFY RD STE 2",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012708",
            "telephone_number": "724-256-9881",
            "fax_number": "724-256-9883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162012416",
            "country_code": "US",
            "telephone_number": "724-545-4540",
            "fax_number": "724-548-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000533733",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "289997",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "464677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7735267",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.