Active NPI
Shanika Lee-Monay Lucas, LLMSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1700577400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851114326
- Practice address
- 418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334 - Phone
- (269) 373-6000
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 6851114326 | MI | Primary |
Addresses
Primary practice location
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Mailing address
806 Wheaton Ave
Kalamazoo, MI 49008-1373
Phone (269) 993-6389
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 |
|---|---|---|---|
| 6851114326 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1700577400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 WHEATON AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081373",
"telephone_number": "269-993-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-373-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "SHANIKA",
"middle_name": "LEE-MONAY",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851114326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.