A. Luke Lukens LCSW Corporation
Organization Active NPI Adult Mental Health Clinic/Center · Lawrenceville, GA
NPI 1346598174 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1346598174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- CSW002534 (GA)
- Legal business name
- A. LUKE LUKENS LCSW CORPORATION
- Practice address
- 750 Longleaf Blvd
Suite C
Lawrenceville, GA 30046-8459 - Phone
- (404) 242-4772
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Allen D Lukens, LCSW
- Title
- Clinical Social Worker Private Prac
- Phone
- (404) 242-4772
Practitioners 1
-
Allen D. Lukens, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121017000019 | GA | Part B Supplier - Clinic/Group Practice | 4880844489 |
Receives reassigned benefits from 1 practitioner Practice locations: Lawrenceville, GA |
National Provider Directory
Locations
750 Longleaf Blvd
Ste C
Lawrenceville, GA 30046
Phone (404) 242-4772
271 S Culver St
#B
Lawrenceville, GA 30046
Phone (404) 242-4772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | CSW002534 | GA | Yes |
Addresses
Primary practice location
750 Longleaf Blvd
Suite C
Lawrenceville, GA 30046-8459
Mailing address
750 Longleaf Blvd
Suite C
Lawrenceville, GA 30046
Phone (404) 242-4772
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All providers in Lawrenceville, GA · Adult Mental Health Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.