Lucas Myer, LCSW, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086562 Issued in NY

Practice address

350 New Campus Dr
Brockport, NY 14420-2997

Phone

(585) 395-2414

NPI assigned

Mar 16, 2018

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.

• State University of New York College at Brockport

  • Student Health Clinic/Center
  • Brockport, NY
  • NPI 1033465539
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1609379577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW CAMPUS DR",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NEW CAMPUS DR",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202997",
            "telephone_number": "585-395-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYER",
        "first_name": "LUCAS",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Mostyn, LCSW
• Leelee Muesebeck, OPTICIAN
• Andrea Mundt, MS, LCAT, ATR-BC
• Makenzie Muoio, OTD, OTRL
• Musheer Hussain PC
• Kelly Nauerth
• New Horizons Family Care
• Amber Marie Nichols, MS, ATC, PES
• Hany G Nissiem, M.D
• Esther Nowak, PT

• Clinical Social Worker in Brockport, NY
• Providers in Brockport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.