Luke Brocco, LCSW, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUKE BROCCO, LCSW, LLC

Practice address

1114 Thomasville Rd Ste E-3
Tallahassee, FL 32303-6288

Phone

(850) 203-0214

Fax

(855) 595-2914

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Luke Byron Brocco, LCSWNPI 1730748666

Title

Owner/Therapist

Phone

(850) 203-0214

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Luke Byron Brocco, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1730748666
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1659094142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 THOMASVILLE RD STE E-3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036288",
            "telephone_number": "850-203-0214",
            "fax_number": "855-595-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 THOMASVILLE RD STE E-3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036288",
            "telephone_number": "850-203-0214",
            "fax_number": "855-595-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE BROCCO, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BROCCO",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "850-203-0214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Luce
• Nicholas Ludergnani
• Geofrey Lugakingira, PHARMD, RPH
• Kurt C Luhmann, MD
• Auburn Lukasik
• Lisa Gauger Lulofs, LCSW
• Luminary Rehab Compliance & Consulting
• Detris Lumpkin, P.T.
• Janna Lumpkin
• Jarius Lumpkin, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.