Carol V Lucero, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-31519 Issued in ID

Practice address

6451 McCall St # D
Bonners Ferry, ID 83805-8525

Phone

(208) 267-2070

NPI assigned

Jan 8, 2008

Last updated

May 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carol V Lucero Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1811172968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051654",
            "telephone_number": "208-267-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 MCCALL ST # D",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058525",
            "telephone_number": "208-267-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6619 Kaniksu St",
            "address_purpose": "LOCATION",
            "city": "Bonners Ferry",
            "state": "ID",
            "postal_code": "838057532",
            "country_code": "US",
            "telephone_number": "208-267-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "CAROL",
        "middle_name": "V",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW-31519",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW26879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "LUCERO",
            "middle_name": "V",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Lacefield, PA-C
• Katie Marie Larson
• Laura Jean Lata, N.P.
• Jordan Thomas Lauby, PA-C
• Susan J Layeux, MD
• Janet Marie Lukehart, MSN, FNP-BC
• Elisabeth M Mackey, ARNP
• Nicole Diana Madill-Klupenger, LCPC 6404
• Main Street Medical LLC
• Mark R. Barker, O.D.P.C.

• Mental Health Counselor in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.