Kaitlyn E Lucca, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.025733 Issued in IL

Practice address

676 N Saint Clair St Ste 1310
Chicago, IL 60611-2923

Phone

(312) 695-9627

Fax

(312) 695-6072

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn E O'Neil Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sherrie D All, PHD, PCGroup PAC ID 7618121922, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.19 of 100Reported as apm

Quality

83.05

Promoting interoperability

100

Improvement activities

40

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.

• Sherrie D All, PHD, PC

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1164776175
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1316721657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112923",
            "telephone_number": "312-695-9627",
            "fax_number": "312-695-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112923",
            "telephone_number": "312-695-9627",
            "fax_number": "312-695-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCA",
        "first_name": "KAITLYN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "O'NEIL",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isaac Barry Lucas
• James B Lucas II, M.D.
• Jasmine Lucas, LPC
• Lily Lucas, DPT
• Tranisha Lynette Lucas, FNP-BC
• Katherine Lucchesi
• Tessa Lucchi, PSYD
• Jeremy Luce, MA, PSYD
• Madison Luce
• Dino Angelo Ruiz Lucena, RN

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.