Maria Lucking

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1901934 Issued in OH

Practice address

4790 Red Bank Rd Ste 126
Cincinnati, OH 45227-1598

Phone

(513) 239-7033

NPI assigned

Apr 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revivecincy LLC

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1073115028
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1447785837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 126",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271598",
            "telephone_number": "513-239-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 126",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271598",
            "telephone_number": "513-239-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKING",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1700135",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1901934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Michelle Luckett, LISW
• Keith Luckett, MD
• Chasity Luckey
• Jonesha Luckey
• Sara Luckhaupt, MD
• Anne W Lucky, M.D.
• Paul A Lucky, M.D.
• Lucy Lu's Transportation Services, Inc.
• Nicole Sheree Luddington, MD
• Deandrea Ludlow

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.