Active NPI
Lawrence L. Lucero, LISW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1447555784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-1135
- Practice address
- 6760 Corporate Dr Ste 200
Colorado Springs, CO 80919-1987 - Phone
- (800) 288-8044
- Fax
- (877) 782-0006
- NPI assigned
- Jan 18, 2011
- Sex
- Male
- Sole proprietor
- No
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 | I-1135 | NM | Primary |
Addresses
Primary practice location
6760 Corporate Dr Ste 200
Colorado Springs, CO 80919-1987
Mailing address
924 Sumner PL
Las Cruces, NM 88001-2565
Phone (575) 312-6455
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 |
|---|---|---|---|
| I-1135 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1447555784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 SUMNER PL",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880012565",
"telephone_number": "575-312-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6760 CORPORATE DR STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191987",
"telephone_number": "800-288-8044",
"fax_number": "877-782-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "LAWRENCE",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-1135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.