Individual provider Active NPI

Josette M Lucci, LMSW

  • Social Worker
  • Troy, MI
National Provider Identifier
1790724623
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801067006 Issued in MI
Practice address
1000 John R Rd Ste 113
Troy, MI 48083-4317
Phone
(248) 765-4550
Fax
(248) 750-0807
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801067006 MI Primary

Addresses

Primary practice location

1000 John R Rd Ste 113
Troy, MI 48083-4317

Mailing address

1000 John R Rd Ste 113
Troy, MI 48083-4317
Phone (248) 765-4550

Other names 1

  • Ms. Josette Mae Poupard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000067 MI Practitioner - Clinical Social Worker 4385703198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Josette M Lucci LLCGroup PAC ID 1557420361, 2 clinicians

Practice addresses (Care Compare)

1000 John R
Suite 113
Troy, MI 48083-4317

1000 John R Rd
Troy, MI 48083-4317
Phone (248) 765-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Josette M. Lucci LLC CurrentSince Mar 17, 2008 Accepting new patients

Locations

1000 John R Rd
Ste 113
Troy, MI 48083
Phone (248) 765-4550

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1790724623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 113",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-765-4550",
            "fax_number": "248-750-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 113",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-765-4550",
            "fax_number": "248-750-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCI",
        "first_name": "JOSETTE",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801067006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSETTE",
            "last_name": "POUPARD",
            "middle_name": "MAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.