Individual provider Active NPI

Barbara A. Luckett, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1184896680
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0794 Issued in KY
Practice address
10702 Lauren PL
Louisville, KY 40291-4866
Phone
(502) 585-1165
Fax
(502) 585-1166
NPI assigned
Mar 25, 2008
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0277 KY
Clinical Social Worker 1041C0700X 0794 KY Primary

Addresses

Primary practice location

10702 Lauren PL
Louisville, KY 40291-4866

Mailing address

10702 Lauren PL
Louisville, KY 40291-4866
Phone (502) 585-1165

Other identifiers 2

IdentifierTypeStateIssuer
8200148800MedicaidKY
1427120591OtherKYCHANGE OF EMAIL ADDRESS FOR COMPANY - LUCKETT & CO., INC. - NPI 1427120591

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

LicenseStateTypeSpecialty
794KYMDMental Health Counselor
0794KYMDClinical Social Worker
0277KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Luckett & Co., Inc. Clinical CurrentSince May 26, 2024 Accepting new patients

Locations

1152 Bardstown Rd
Louisville, KY 40204
Phone (502) 485-9635

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1184896680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 LAUREN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914866",
            "telephone_number": "502-585-1165",
            "fax_number": "502-585-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10702 LAUREN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914866",
            "telephone_number": "502-585-1165",
            "fax_number": "502-585-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "0277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "0794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8200148800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHANGE OF EMAIL ADDRESS FOR COMPANY - LUCKETT & CO., INC. - NPI 1427120591",
            "identifier": "1427120591",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.