Lucas Michael Davis, PCSW

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casper, WY

NPI 1154057602 · NPPES record last updated Jul 27, 2022

Key facts

NPI
1154057602
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1440 Wilkins Cir
Casper, WY 82601-1336
Phone
(307) 237-9583
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Counseling Center Past
since Jul 31, 2022
Accepting new patients
Natrona County Behavioral Health Past
since Jul 31, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1440 Wilkins Cir
Casper, WY 82601-1336

Mailing address

1440 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583

Other providers in Casper, WY

All providers in Casper, WY · Addiction (Substance Use Disorder) Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.