Individual provider Active NPI

Stacey Lukowiak, LCSW, LCAD,CCS

  • Social Worker
  • Pompton Lakes, NJ
National Provider Identifier
1841765476
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05803600 Issued in NJ
Practice address
88 Barbara Dr
Pompton Lakes, NJ 07442-1129
Phone
(973) 493-9221
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC05803600 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00263000 NJ

Addresses

Primary practice location

88 Barbara Dr
Pompton Lakes, NJ 07442-1129

Mailing address

88 Barbara Dr
Pompton Lakes, NJ 07442-1129
Phone (973) 493-9221

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
37LC00263000NJMDAddiction (Substance Use Disorder) Counselor
44SC05803600NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1841765476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BARBARA DR",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421129",
            "telephone_number": "973-493-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BARBARA DR",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421129",
            "telephone_number": "973-493-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOWIAK",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAD,CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05803600",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00263000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.