Amanda Lucas PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMANDA LUCAS PLLC

Practice address

2114 W Lyndale St Apt 1F
Chicago, IL 60647-3390

Phone

(773) 263-4447

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Amanda J Lucas, LCSWNPI 1528549391

Title

Owner

Phone

(773) 263-4447

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda J Lucas

  • Social Worker
  • Chicago, IL
  • NPI 1528549391
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1548019300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 W LYNDALE ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473390",
            "telephone_number": "773-263-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 W LYNDALE ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473390",
            "telephone_number": "773-263-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA LUCAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-263-4447",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amandla Charter School
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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.