Active NPI
Wendy Lucker, L.C.S.W.
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1144416173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW16402
- Practice address
- 537 42ND Ave N
St Petersburg, FL 33703-5720 - Phone
- (541) 350-7041
- NPI assigned
- Sep 24, 2007
- Last updated
- Nov 3, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L3492 | OR | |
| Clinical Social Worker | 1041C0700X | CSW004455 | GA | |
| Clinical Social Worker | 1041C0700X | SW16402 | FL | Primary |
Addresses
Primary practice location
537 42ND Ave N
St Petersburg, FL 33703-5720
Mailing address
537 42ND Ave N
St Petersburg, FL 33703-5720
Phone (541) 350-7041
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 |
|---|---|---|---|
| 3492 | OR | MD | Clinical Psychologist |
| SW16402 | FL | MD | Clinical Social Worker |
| CSW004455 | GA | MD | Clinical Social Worker |
| L3492 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy Lucker LLC | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- South Pasadena, FL
- NPI 1801554977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1144416173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 42ND AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337035720",
"telephone_number": "541-350-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 42ND AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337035720",
"telephone_number": "541-350-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKER",
"first_name": "WENDY",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L3492",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004455",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW16402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.