William J Luecke, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1061 Issued in WA

Practice address

2617 12TH CT SW Ste B5
Olympia, WA 98502-1023

Phone

(360) 754-9870

Fax

(360) 352-7881

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1750459152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081009",
            "telephone_number": "360-352-2037",
            "fax_number": "360-352-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 12TH CT SW STE B5",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021023",
            "telephone_number": "360-754-9870",
            "fax_number": "360-352-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUECKE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "118102",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER",
            "identifier": "LU6331",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "782044",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Selena Luciano, ARNP
• Amber Batrice Lucious
• Amanda Megan Luck, D.M.D.
• Ashley Luco
• Shannon Ludwig
• Thomas James Luetkehans, MD
• Colin Luh, MD, DACM
• Laiklyn Luikart, RBT
• Sarah Lukasik, FNP-C
• Brianna Luna, PHARMD

• Clinical Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.