Individual provider Active NPI

Rocky Lucas, LICSW, MSW

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1689040032
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944158 Issued in WV
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

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 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
I20170306001270 WV Practitioner - Clinical Social Worker 0840574133 Reassigns benefits to 1 organization
I20250603000208 NC Practitioner - Clinical Social Worker 0840574133 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
DP00944158WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cabin Creek Health Center, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Cabin Creek Health Center, Inc. Current Accepting new patients
Cabin Creek Health Center Inc CurrentSince Jan 1, 2017 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jul 7, 2025 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.

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

Verify at the official NPI Registry.