Active NPI
Carol Lucius, LICSW
- Social Worker
- Dennis Port, MA
National Provider Identifier
1487139440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW3006
- Practice address
- 31 Ocean Dr
Dennis Port, MA 02639-2214 - Phone
- (904) 477-2285
- NPI assigned
- Sep 26, 2018
- Last updated
- Sep 26, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW3006 | FL | Primary |
Addresses
Primary practice location
31 Ocean Dr
Dennis Port, MA 02639-2214
Mailing address
8719 Harpers Glen CT
Jacksonville, FL 32256-4543
Phone (904) 477-2285
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1487139440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8719 HARPERS GLEN CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564543",
"telephone_number": "904-477-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OCEAN DR",
"city": "DENNIS PORT",
"state": "MA",
"postal_code": "026392214",
"telephone_number": "904-477-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIUS",
"first_name": "CAROL",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW3006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dennis Port, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.