Individual provider Active NPI

Lucas Ryan Scherer, MSW, LICSW

  • Clinical Social Worker
  • Cloquet, MN
National Provider Identifier
1669900452
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26323 Issued in MN
Practice address
40 11TH St
Cloquet, MN 55720-1817
Phone
(218) 879-4559
Fax
(218) 879-0282
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26323 MN
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 26323 MN Primary

Addresses

Primary practice location

40 11TH St
Cloquet, MN 55720-1817

Mailing address

1401 E 1St St
Duluth, MN 55805-2407
Phone (218) 728-4491

Other practice location 1

1500 N 34th St Ste 200
Superior, WI 54880-4477
Phone (715) 392-8216

Other practice location 2

810 E 4th St
Duluth, MN 55805-2147
Phone (218) 624-5683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210121003162 MN Practitioner - Clinical Social Worker 7214341825 Reassigns benefits to 1 organization
I20230417000064 WI Practitioner - Clinical Social Worker 7214341825 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26323MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Hospital of Superior CurrentSince May 2, 2023 Accepting new patients
St. Mary'S Hospital of Superior Current Accepting new patients
Brightwater Health Dba Human Development Center CurrentSince Jan 1, 2021 Accepting new patients
Brightwater Health Dba Human Development Center PastSince Apr 5, 2020 Accepting new patients

Locations

40 11th St
Cloquet, MN 55720
Phone (218) 879-4559

1401 E 1st St
Duluth, MN 55805
Phone (218) 728-4491

810 E 4th St
Duluth, MN 55805
Phone (218) 728-4491

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

629 1st Ave
Two Harbors, MN 55616
Phone (218) 834-5520

1500 N 34th St
Ste 200
Superior, WI 54880
Phone (715) 392-8216

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1669900452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-730-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 11TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201817",
            "telephone_number": "218-879-4559",
            "fax_number": "218-879-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N 34th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "WI",
            "postal_code": "548804477",
            "country_code": "US",
            "telephone_number": "715-392-8216",
            "fax_number": "715-392-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052147",
            "country_code": "US",
            "telephone_number": "218-624-5683",
            "fax_number": "218-624-5736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHERER",
        "first_name": "LUCAS",
        "middle_name": "RYAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "26323",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.