Active NPI
Graciela H Lugo, LICSW
- Clinical Social Worker
- Lowell, MA
National Provider Identifier
1154489755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125439
- Practice address
- 77 E Merrimack St
Lowell, MA 01852-1251 - Phone
- (978) 349-4166
- Fax
- (978) 704-8230
- NPI assigned
- Dec 5, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 225627 | MA | |
| Clinical Social Worker | 1041C0700X | 125439 | MA | Primary |
| Mental Health Counselor | 101YM0800X | 125439 | MA | |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
77 E Merrimack St
Lowell, MA 01852-1251
Mailing address
77 E Merrimack St
Lowell, MA 01852-1251
Phone (978) 349-4166
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125439 | MA | MD | Mental Health Counselor |
| 225627 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayside Youth and Family Support Network | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Malden, MA
- NPI 1720130453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1154489755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 E MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521251",
"telephone_number": "978-349-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 E MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521251",
"telephone_number": "978-349-4166",
"fax_number": "978-704-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "GRACIELA",
"middle_name": "H",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "225627",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125439",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "125439",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.