Individual provider Active NPI

Nancy Hillery-Lucas, LCSW-R

  • Clinical Social Worker
  • Herkimer, NY
National Provider Identifier
1861721706
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R080567-1 Issued in NY
Practice address
301 N Washington St
Suite 2470
Herkimer, NY 13350-1216
Phone
(315) 867-1465
Fax
(315) 867-1469
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P72061 NY
Clinical Social Worker 1041C0700X R080567-1 NY Primary

Addresses

Primary practice location

301 N Washington St
Suite 2470
Herkimer, NY 13350-1216

Mailing address

301 N Washington St
Suite 2470
Herkimer, NY 13350-1216
Phone (315) 867-1465

Other identifiers 1

IdentifierTypeStateIssuer
P72061OtherNYLIMITED PERMIT MASTER SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P72061NYMDClinical Social Worker
R080567-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Hartford Psychological Services, PC CurrentSince Jan 1, 2024 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Dec 1, 2020 Accepting new patients
Herkimer County CurrentSince Apr 1, 2013 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Dec 1, 2020 Accepting new patients
Herkimer County CurrentSince Apr 1, 2013 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

301 N Washington St
Ste 2470
Herkimer, NY 13350
Phone (315) 867-1465

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

2307 Genesee St
Utica, NY 13501
Phone (315) 223-8889

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": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1861721706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST",
            "address_2": "SUITE 2470",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501216",
            "telephone_number": "315-867-1465",
            "fax_number": "315-867-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST",
            "address_2": "SUITE 2470",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501216",
            "telephone_number": "315-867-1465",
            "fax_number": "315-867-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLERY-LUCAS",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P72061",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R080567-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED PERMIT MASTER SOCIAL WORKER",
            "identifier": "P72061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.