Active NPI
Lucas Steven Brown
- Clinical Social Worker
- Puyallup, WA
National Provider Identifier
1578944963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60916054
- Practice address
- 17404 Meridian E Ste F-117
Puyallup, WA 98375-6234 - Phone
- (253) 256-3196
- Fax
- (253) 544-4080
- NPI assigned
- Jun 11, 2015
- Last updated
- Dec 19, 2022
- Sex
- Male
- 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 | LW60916054 | WA | Primary |
Addresses
Primary practice location
17404 Meridian E Ste F-117
Puyallup, WA 98375-6234
Mailing address
17404 Meridian E Ste F-117
Puyallup, WA 98375-6234
Phone (253) 256-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20190813001251 | WA | Practitioner - Clinical Social Worker | 8224365333 | Practice locations: Tacoma, WA |
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": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1578944963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17404 MERIDIAN E STE F-117",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756234",
"telephone_number": "253-256-3196",
"fax_number": "253-544-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17404 MERIDIAN E STE F-117",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756234",
"telephone_number": "253-256-3196",
"fax_number": "253-544-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LUCAS",
"middle_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60916054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.