Austin David Lucas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9090 Issued in WI

Practice address

926 South 8TH Street
Manitowoc, WI 54221-1177

Phone

(920) 683-4230

Fax

(920) 683-4908

NPI assigned

Feb 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vista Care Wisconsin Inc.

  • In Home Supportive Care Agency
  • Sheboygan, WI
  • NPI 1902085624

  Clinical

  NPD

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1154869212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202817",
            "telephone_number": "906-239-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 SOUTH 8TH STREET",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542211177",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "AUSTIN",
        "middle_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16247",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allan P Lorenzo, P.T.
• Katie Lorrigan, COTA
• Lisa A Lorrigan, DPT
• Lotus Recovery Homes Inc
• Sara Lubner
• Cary Luedtke, PHARMD
• Barbara Jean Lukas, FNP-C
• Cheryl L. Lustig, APNP
• Timothy J Maatman, MD
• Stephanie Madson, SOCIAL WORKER

• Clinical Social Worker in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.