Individual provider Active NPI

Henry Lucas, LCSW, LCADC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1336573773
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252368 Issued in KY
Practice address
600 S Preston St
Louisville, KY 40202-1716
Phone
(502) 589-8600
Fax
(502) 589-8771
NPI assigned
Aug 21, 2013
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADCLAD00223222 KY
Clinical Social Worker 1041C0700X 252368 KY Primary

Addresses

Primary practice location

600 S Preston St
Louisville, KY 40202-1716

Mailing address

2027 Cedarcrest Dr
Louisville, KY 40242-1423
Phone (502) 767-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20220330001473 KY Practitioner - Clinical Social Worker 7618363797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Lucas Counseling and Consulting LLCGroup PAC ID 6800282971, 5 clinicians

Practice addresses (Care Compare)

8134 New Lagrange Rd
Suite 100
Louisville, KY 40222
Phone (502) 767-0415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ADCLAD00223222KYMDAddiction (Substance Use Disorder) Counselor
252368KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Counseling and Consulting, LLC Current Accepting new patients
Lucas Counseling and Consulting, LLC Clinical CurrentSince Sep 8, 2021 Accepting new patients
Prodigal Ministries, LLC Past Accepting new patients
Seven Counties Services, Inc. Addiction (Substance Use Disorder) PastSince Jun 12, 2019 Accepting new patients

Locations

120 W Stephen Foster Ave
Ste 100
Bardstown, KY 40004
Phone (502) 501-7946

8134 New La Grange Rd
Ste 100
Louisville, KY 40222
Phone (502) 767-0415

8134 New La Grange Rd
Ste 226
Louisville, KY 40222

Organizations & group practices 4

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1336573773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 CEDARCREST DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402421423",
            "telephone_number": "502-767-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021716",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "HENRY",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "ADCLAD00223222",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.