Active NPI
Kathleen Mary Lucas-Gilmore, LISW
- Clinical Social Worker
- Council Bluffs, IA
National Provider Identifier
1669445516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00878
- Practice address
- 136 S 7TH St
Council Bluffs, IA 51501-4133 - Phone
- (712) 325-1136
- Fax
- (712) 325-1152
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 00878 | IA | Primary |
Addresses
Primary practice location
136 S 7TH St
Council Bluffs, IA 51501-4133
Mailing address
318 Midland Dr
Council Bluffs, IA 51503-0414
Phone (712) 388-2140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23549 | Other | IA | WELLMARK |
| 35553 | Other | IA | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00878 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669445516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 MIDLAND DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030414",
"telephone_number": "712-388-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S 7TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515014133",
"telephone_number": "712-325-1136",
"fax_number": "712-325-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS-GILMORE",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "23549",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "35553",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.