Ava T Lucky, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.0028788 Issued in OH

Practice address

602 South St Ste D-1
Chardon, OH 44024-1499

Phone

(440) 285-3537

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Catholic Charities Corporation

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1306104690
  NPD (past)
• Catholic Charities Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Parma, OH
  • NPI 1659328771
  NPD (past)
• Positive Education Program

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Cleveland, OH
  • NPI 1528035631
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1699313536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6753 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SOUTH ST STE D-1",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241499",
            "telephone_number": "440-285-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKY",
        "first_name": "AVA",
        "middle_name": "T",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0028788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lowry
• Alyssa Lucas
• Beth Lucas
• Ebony Lea Lucas
• Rhonda Luce
• Lori Lundeen-Smith, SLP
• Clayton Camden Lundi
• Leslie Macdonald, LSW, CDCA
• Judith Macek
• Kassie Machado

• Clinical Social Worker in Chardon, OH
• Providers in Chardon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.