Active NPI
Lucky Lee Collins, LCSW, BCD
- Clinical Social Worker
- Danville, KY
National Provider Identifier
1417976903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 75
- Practice address
- 416 S 4TH St
Danville, KY 40422-2085 - Phone
- (859) 236-0853
- Fax
- (859) 236-0854
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 75 | KY | Primary |
Addresses
Primary practice location
416 S 4TH St
Danville, KY 40422-2085
Mailing address
416 S 4TH St
Danville, KY 40422-2085
Phone (859) 236-0853
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela Noble, LCSW, LLC | Clinical | Past | Accepting new patients |
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": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417976903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 S 4TH ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222085",
"telephone_number": "859-236-0853",
"fax_number": "859-236-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 S 4TH ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222085",
"telephone_number": "859-236-0853",
"fax_number": "859-236-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "LUCKY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "75",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
- Natasha Clements, LPCC
- Susan Alexandra Cliburn Arnold, LCSW
- Charles Frederick Closson
- Heather S Cocanougher, BA, PE
- Adam Loyd Coleman
- Commonwealth Neurology & Sleep Center (Commonwealth Neuroscience Center)
- Commonwealth Psychiatry, PLLC
- Commonwealth Testing
- Commonwealth Urology Danville
- Community Wellness Medical Associates a PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.