Mary Lugar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5913 Issued in TN

Practice address

3105 Essary Dr
Knoxville, TN 37918-2409

Phone

(865) 687-8990

Fax

(865) 687-1190

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alternative Counseling Center

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1376715482
  NPD (past)
• Helen Ross McNabb Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knoxville, TN
  • NPI 1659330686
  NPD (past)
• Botetourt Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blue Ridge, VA
  • NPI 1265535611
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1730458639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ESSARY DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37918",
            "telephone_number": "865-687-8990",
            "fax_number": "865-687-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 ESSARY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182409",
            "telephone_number": "865-687-8990",
            "fax_number": "865-687-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGAR",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007694",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001974",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I806846",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730458639",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q38872A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce B Ludwig Jr., M.D.
• Barbara Jo Luedeka
• Julie Lueking
• Michael Luethke, DDS
• Shelby Headley Luethke, PA
• Sladana Lugonjic, CRNA
• Amber G. Luhn, M.D.
• Penny Rosen Lukin, PHD
• Patricia A Lukosius, PH.D.
• Dakri Lukowski

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.