Active NPI
Jean L Lukens, M.S.W., LICSW
- Clinical Social Worker
- Amherst, MA
National Provider Identifier
1457429334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105226
- Practice address
- 664 Main St
Suite #56
Amherst, MA 01002-2439 - Phone
- (413) 695-3242
- Fax
- (413) 253-9000
- NPI assigned
- Dec 1, 2006
- 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 | 105226 | MA | Primary |
Addresses
Primary practice location
664 Main St
Suite #56
Amherst, MA 01002-2439
Mailing address
180 N Leverett Rd
Leverett, MA 01054-9735
Phone (413) 695-3242
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160478 | Other | MA | HARVARD PILGRIM |
| 1853864 | Medicaid | MA | |
| 460355 | Other | MA | TUFTS |
| 105226 | Other | MA | LICSW LICENSE |
| P04156 | Other | MA | BLUE CROSS SHIELD OF MA |
| 11353 | Other | MA | UNITED BEHAVIORAL HEALTH |
| 32398 | Other | MA | HEALTH NEW ENGLAND |
| 556232 | Other | MA | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040825000513 | MA | Practitioner - Clinical Social Worker | 6507830429 | Practice locations: Amherst, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
180 N Leverett Rd
Leverett, MA 01054-9735
664 Main St
Suite 56
Amherst, MA 01002-2428
Phone (413) 695-3242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457429334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 N LEVERETT RD",
"city": "LEVERETT",
"state": "MA",
"postal_code": "010549735",
"telephone_number": "413-695-3242",
"fax_number": "413-253-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 MAIN ST",
"address_2": "SUITE #56",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022439",
"telephone_number": "413-695-3242",
"fax_number": "413-253-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKENS",
"first_name": "JEAN",
"middle_name": "L",
"credential": "M.S.W., LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "160478",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1853864",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "460355",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW LICENSE",
"identifier": "105226",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD OF MA",
"identifier": "P04156",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "11353",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "32398",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "556232",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.