Organization Active NPI

Lucas Counseling, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1114468535
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009728 Issued in NC
Legal business name
LUCAS COUNSELING, PLLC
Practice address
6030 Bennettsville LN
Apartment 302
Charlotte, NC 28262-2387
Phone
(248) 880-2964
Fax
(855) 622-0417
NPI assigned
Mar 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Sangster-Lucas, LCSWNPI 1588910608
Title
Clinical Social Worker
Phone
(248) 880-2964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C009728 NC Primary

Addresses

Primary practice location

6030 Bennettsville LN
Apartment 302
Charlotte, NC 28262-2387

Mailing address

301 McCullough Dr
Suite 400
Charlotte, NC 28262-3310
Phone (248) 880-2964

Other identifiers 1

IdentifierTypeStateIssuer
C009728OtherNCLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1114468535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "248-880-2964",
            "fax_number": "855-622-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 BENNETTSVILLE LN",
            "address_2": "APARTMENT 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622387",
            "telephone_number": "248-880-2964",
            "fax_number": "855-622-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "SANGSTER-LUCAS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-880-2964",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C009728",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.