Active NPI
Cynthia Lynn Lucas, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1073752549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW19650
- Practice address
- 3255 Cahuenga Blvd W Ste 208
Los Angeles, CA 90068-1777 - Phone
- (424) 333-0107
- Fax
- (818) 591-9081
- NPI assigned
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW19650 | CA | Primary |
Addresses
Primary practice location
3255 Cahuenga Blvd W Ste 208
Los Angeles, CA 90068-1777
Mailing address
22287 Mulholland Hwy # 396
Calabasas, CA 91302-5157
Phone (424) 333-0107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140625002177 | CA | Practitioner - Clinical Social Worker | 4587889027 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3255 Cahuenga Blvd W
Suite 208
Los Angeles, CA 90068-1777
Phone (424) 333-0107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW19650 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1073752549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22287 MULHOLLAND HWY # 396",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913025157",
"telephone_number": "424-333-0107",
"fax_number": "818-591-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 CAHUENGA BLVD W STE 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681777",
"telephone_number": "424-333-0107",
"fax_number": "818-591-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW19650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.