Jolie Candace Lucas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23145 Issued in CA

Practice address

1411 Marsh Suite 108
San Luis Obispo, CA 93401

Phone

(805) 544-1412

Fax

(805) 544-1412

NPI assigned

Jan 25, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1659558245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 REDONDO CT",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332931",
            "telephone_number": "805-544-1412",
            "fax_number": "805-544-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARSH SUITE 108",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-544-1412",
            "fax_number": "805-544-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JOLIE",
        "middle_name": "CANDACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Lowry, PH.D.
• Kenneth Michael Loya, PH.D.
• Clairol Lozano
• Laura A Lubarsky, M.D
• Ryan Lubock, PSYD
• Richard James Luciano, FNP
• Peter Andrew Lucier, HA 3961
• Savanna Ludlow
• David B. Ludwig
• Kathryn Anne Ludwig

• Clinical Social Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.