Active NPI
Mary Elizabeth Lucia, LCSW,LPC,LMFT
- Clinical Social Worker
- Raceland, LA
National Provider Identifier
1154466845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2446
- Practice address
- 189 Wilson St
Raceland, LA 70394-3140 - Phone
- (985) 805-0281
- NPI assigned
- Feb 20, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1047 | LA | |
| Clinical Social Worker | 1041C0700X | 2446 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 271 | LA |
Addresses
Primary practice location
189 Wilson St
Raceland, LA 70394-3140
Mailing address
189 Wilson St
Raceland, LA 70394-3140
Phone (985) 805-0281
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 |
|---|---|---|---|
| 1047 | LA | MD | Clinical Psychologist |
| 271 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1154466845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 WILSON ST",
"city": "RACELAND",
"state": "LA",
"postal_code": "703943140",
"telephone_number": "985-805-0281",
"fax_number": "985-664-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 WILSON ST",
"city": "RACELAND",
"state": "LA",
"postal_code": "703943140",
"telephone_number": "985-805-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIA",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW,LPC,LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "1047",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2446",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "271",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raceland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.