Joel Lucio Jr., LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108878 Issued in MI

Practice address

120 E Liberty St Ste 200124
Ann Arbor, MI 48104-2156

Phone

(734) 926-5314

Fax

(734) 405-6314

NPI assigned

Jan 9, 2020

Sex

Male

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.

• Transformative Therapy & Consultation Services

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1093338113
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1508406315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CATHERINE ST APT 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041548",
            "telephone_number": "512-701-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LIBERTY ST STE 200124",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042156",
            "telephone_number": "734-926-5314",
            "fax_number": "734-405-6314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5716 Michigan Ave # 3000",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482103039",
            "country_code": "US",
            "telephone_number": "313-481-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "JOEL",
        "name_suffix": "Jr.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Imbat Lucas, RN
• Mark T Lucas, PT
• Webb GM Lucas, COTA/L
• Ann Elizabeth Luciano, RN, ACNP-BC
• Christopher Lucido, DPT
• Mary Wickert Luck
• Mary Luckett, MD
• Kera Elizabeth Luckritz, DO
• Robert Luczak, RPH
• Mathew W Ludgate, MD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.