Individual provider Active NPI

Jean L Lukens, M.S.W., LICSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1457429334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105226 Issued in MA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
160478OtherMAHARVARD PILGRIM
1853864MedicaidMA
460355OtherMATUFTS
105226OtherMALICSW LICENSE
P04156OtherMABLUE CROSS SHIELD OF MA
11353OtherMAUNITED BEHAVIORAL HEALTH
32398OtherMAHEALTH NEW ENGLAND
556232OtherMAMAGELLAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.