Active NPI
Victoria F. Lucking, LCSW
- Clinical Social Worker
- Selma, NC
National Provider Identifier
1104124288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO3763
- Practice address
- 109 E Oak St
Selma, NC 27576-2845 - Phone
- (919) 502-9361
- NPI assigned
- Mar 14, 2011
- Last updated
- Mar 14, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO3763 | NC | Primary |
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064375 | Other | NC | NPI PROFESSIONAL LIMITED LIABILITY CORPORATION |
| 6007429 | Medicaid | NC |
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)
- Enrolled
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
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1700064375
-
- Geriatric Psychiatry Physician
- Cary, NC
- NPI 1801398805
-
- Professional Counselor
- Garner, NC
- NPI 1174766554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1104124288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 GROUNDNUT CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276134138",
"telephone_number": "919-740-9821",
"fax_number": "919-510-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E OAK ST",
"city": "SELMA",
"state": "NC",
"postal_code": "275762845",
"telephone_number": "919-502-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKING",
"first_name": "VICTORIA",
"middle_name": "F.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO3763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI PROFESSIONAL LIMITED LIABILITY CORPORATION",
"identifier": "1700064375",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007429",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Selma, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.