Victoria F. Lucking, LCSW
Individual provider Active NPI Clinical Social Worker · Selma, NC
NPI 1104124288 · NPPES record last updated Mar 14, 2011
Key facts
- NPI
- 1104124288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- COO3763 (NC)
- Practice address
- 109 E Oak St
Selma, NC 27576-2845 - Phone
- (919) 502-9361
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COO3763 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin McArthur, MD, PLLC | Current |
Accepting new patients | |
| Destiny Counseling Connection PLLC | Past |
Accepting new patients | |
| Victoria F Lucking PLLC LCSW | Clinical | Past | Accepting new patients |
Locations
1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO3763 | NC | Yes |
Addresses
Primary practice location
109 E Oak St
Selma, NC 27576-2845
Mailing address
4612 Groundnut CT
Raleigh, NC 27613-4138
Phone (919) 740-9821
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007429 | Medicaid | NC | |
| 1700064375 | Other | NC | NPI PROFESSIONAL LIMITED LIABILITY CORPORATION |
Other providers in Selma, NC
- Anna Lanier-Comar
- James Adam Lassiter
- Latch Makers
- Arieal Lee
- Little Inspirations Developmental Services
- Matthew Ryan McDonald
- Kristen Leigh Moore
- Yanette Morales
- Linda Chewning Nelson
- Neuse Charter School of Johnston County
All providers in Selma, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.