Individual provider Active NPI

Lucas Hurzeler

  • Clinical Social Worker
  • Iron Mountain, MI
National Provider Identifier
1740735208
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8977-123 Issued in WI
Practice address
325 E H St
Iron Mountain, MI 49801-4760
Phone
(906) 774-3300
NPI assigned
Aug 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099857 FM
Clinical Social Worker 1041C0700X 6801099857 MI
Clinical Social Worker 1041C0700X 8977-123 WI Primary

Addresses

Primary practice location

325 E H St
Iron Mountain, MI 49801-4760

Mailing address

325 E H St
Iron Mountain, MI 49801-4760
Phone (906) 774-3300

Other practice location 1

401 10th Ave
Menominee, MI 49858-3009
Phone (906) 863-7841

Other practice location 2

1201 Jackson St
Niagara, WI 54151-1233
Phone (715) 251-4555

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099857FMMDClinical Social Worker
6801099857MIMDClinical Social Worker
8977-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Marinette Past Accepting new patients

Organizations & group practices 1

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1740735208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E H ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014760",
            "telephone_number": "906-774-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E H ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014760",
            "telephone_number": "906-774-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Menominee",
            "state": "MI",
            "postal_code": "498583009",
            "country_code": "US",
            "telephone_number": "906-863-7841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Niagara",
            "state": "WI",
            "postal_code": "541511233",
            "country_code": "US",
            "telephone_number": "715-251-4555",
            "fax_number": "715-251-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURZELER",
        "first_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FM",
            "license": "6801099857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8977-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.