Active NPI
Rocky Lucas, LICSW, MSW
- Clinical Social Worker
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00944158
- Practice address
- 4602 Maccorkle Ave SE
Charleston, WV 25304-1848 - Phone
- (304) 205-7535
- Fax
- (304) 205-7536
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | DP00944158 | WV | Primary |
Addresses
Primary practice location
4602 Maccorkle Ave SE
Charleston, WV 25304-1848
Mailing address
104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040
Other practice location 1
5185 US Route 60
Suite 32
Huntington, WV 25705-2078
Phone (304) 302-0526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Kentucky College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3044 Tower Blvd
Durham, NC 27707-2542
Phone (919) 490-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00944158 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center Inc | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients |
Locations
3044 Tower Blvd
Durham, NC 27707
3004 Tower Blvd
Durham, NC 27707
Phone (919) 236-1882
3044 Tower Blvd
Durham, NC 27707
Phone (919) 490-9800
7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650
1 Warrior Way
Ste 103
Belle, WV 25015
Phone (304) 949-3591
4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535
104 Alex Ln
Charleston, WV 25304
Phone 30473420401319
107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
-
- Federally Qualified Health Center (FQHC)
- Dawes, WV
- NPI 1366495525
-
- Federally Qualified Health Center (FQHC)
- Sissonville, WV
- NPI 1801836341
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1194596759
-
- Family Medicine Physician
- Durham, NC
- NPI 1225073554
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1689040032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ALEX LN",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042952",
"telephone_number": "304-734-2040",
"fax_number": "304-734-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041848",
"telephone_number": "304-205-7535",
"fax_number": "304-205-7536"
}
],
"practiceLocations": [
{
"address_1": "5185 US Route 60",
"address_2": "Suite 32",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257052078",
"country_code": "US",
"telephone_number": "304-302-0526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "ROCKY",
"credential": "LICSW, MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00944158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.