Khristopher A Lucin-Caceres

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW17588 Issued in FL

Practice address

9425 SW 72ND St Ste 267
Miami, FL 33173-5457

Phone

(305) 981-6806

NPI assigned

Aug 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Optimal Living Center

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1518347699
  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1659099216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11236 SW 135TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765372",
            "telephone_number": "305-773-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 267",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735457",
            "telephone_number": "305-981-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIN-CACERES",
        "first_name": "KHRISTOPHER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW17588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luci Home Care Services LLC
• Luci'S Behavior Therapy Inc
• Lucia Residence Inc.
• Lucid Minds
• Lucid Minds
• Lucinda I Cuervo MD PA
• Lucita M Clersaint DPM P a
• Elba Jacqueline Luck, RPH
• Judith Luck, ARNP
• Gajendranath Luckhoo, LMHC

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.