Kim E. Lucey LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3676 Issued in OR

Legal business name

KIM E. LUCEY LCSW

Practice address

1020 SW Taylor St Ste 700
Portland, OR 97205-2512

Phone

(971) 225-0105

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kim E Lucey, LCSW

Title

President/Owner

Phone

(971) 225-0105

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1386199461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 700",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052512",
            "telephone_number": "971-225-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 700",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052512",
            "telephone_number": "971-225-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM E. LUCEY LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "971-225-0105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653429",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles M Kilo, M.D.
• Mary Kilo, MD
• Carrie Kilpatrick-White, LCSW
• Michelle Lynn Kilpatrick, LMT
• Irina Kilyushik, PA-C
• Kim Knight, Macom, Lac
• Kim Lovelace, LMT
• Zoe Kim-Maskell, MSW, MPH, CSWA
• Lynne Kyoung Kim-Yang, ARNP, DNP
• Adam Kim, MS/EDS, LPC, NCC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.