Active NPI
Lunise Luc, MSW
- Social Worker
- Jacksonville, FL
National Provider Identifier
1689766925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW3895
- Practice address
- 3027 San Diego Rd
Jacksonville, FL 32207-3691 - Phone
- (904) 493-7744
- Fax
- (904) 348-2818
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW3895 | FL | Primary |
Addresses
Primary practice location
3027 San Diego Rd
Jacksonville, FL 32207-3691
Mailing address
3027 San Diego Rd
Jacksonville, FL 32207-3691
Phone (904) 493-7744
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW3895 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1689766925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 SAN DIEGO RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073691",
"telephone_number": "904-493-7744",
"fax_number": "904-348-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 SAN DIEGO RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073691",
"telephone_number": "904-493-7744",
"fax_number": "904-348-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUC",
"first_name": "LUNISE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW3895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.