Individual provider Active NPI

Jacqueline Lucas, LCSW

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1073783809
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05348400 Issued in NJ
Practice address
1683 Route 88 W
Brick, NJ 08724-3050
Phone
(732) 840-5266
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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 44SC05348400 NJ Primary

Addresses

Primary practice location

1683 Route 88 W
Brick, NJ 08724-3050

Mailing address

95 Joan CT
Jackson, NJ 08527-2365
Phone (732) 901-0164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080926000310 NJ Practitioner - Clinical Social Worker 5395812762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Neuropsychology AssociatesGroup PAC ID 6002104692, 9 clinicians

Practice addresses (Care Compare)

1301 Route 72 W
Suite 250
Manahawkin, NJ 08050-2483
Phone (732) 930-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05348400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Neuropsychology Associates CurrentSince Jan 3, 2017 Accepting new patients

Locations

1301 Route 72 W
Ste 250
Manahawkin, NJ 08050
Phone (609) 597-5521

334 Commons Way
Toms River, NJ 08755
Phone (732) 930-2242

Organizations & group practices 1

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1073783809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 JOAN CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272365",
            "telephone_number": "732-901-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243050",
            "telephone_number": "732-840-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05348400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.