Individual provider Active NPI

Carol D Lucas, LCSW

  • Clinical Social Worker
  • Alcoa, TN
National Provider Identifier
1851446926
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04424 Issued in TN
Practice address
255 E Watt St
Alcoa, TN 37701-2236
Phone
(865) 273-1616
Fax
(865) 273-1645
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 04424 TN Primary

Addresses

Primary practice location

255 E Watt St
Alcoa, TN 37701-2236

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other identifiers 2

IdentifierTypeStateIssuer
04424OtherTNSTATE LICENSE
3373630MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080918000446 TN Practitioner - Clinical Social Worker 2264509181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

6305 Lonas Dr
Suite 101
Knoxville, TN 37909-3203
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04424TNMDClinical Social Worker
4424TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Mar 2, 2020 Accepting new patients
Healthy Mind Counseling Services, Inc Clinical CurrentSince Sep 1, 2021 Accepting new patients
Cherokee Health Systems CurrentSince Mar 2, 2020 Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients
Health Ventures, Inc Past Accepting new patients

Locations

255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (833) 547-2113

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: lifestanehealth.carollucus@148560.advancedmd-direct.com

Organizations & group practices 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1851446926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E WATT ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012236",
            "telephone_number": "865-273-1616",
            "fax_number": "865-273-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CAROL",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "04424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "04424",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373630",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.