Lucie Ann King, LCSW
Individual provider Active NPI Clinical Social Worker · Stateline, NV
NPI 1831401835 · NPPES record last updated Jul 7, 2010
Key facts
- NPI
- 1831401835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 01853-C (NV)
- Practice address
- 191 Pine Drive
Stateline, NV 89449 - Phone
- (775) 588-3762
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01853-C | NV | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01853-C | NV | Yes |
Addresses
Primary practice location
191 Pine Drive
Stateline, NV 89449
Mailing address
PO Box 11280
Zephyr Cove, NV 89448-3280
Phone (775) 588-3762
Other providers in Stateline, NV
- Jeanne C Horton
- Morgan Idso
- Jeremy Ezra Johnson
- Erin Elizabeth Jones
- Laurie Kasa
- Kingsbury Chiropractic LLC
- Cathey R Knight
- Lauren Michelle Lee
- Steven Dale Leman
- Hersel Lewis
All providers in Stateline, NV · Clinical Social Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.