Active NPI
Nancy Hillery-Lucas, LCSW-R
- Clinical Social Worker
- Herkimer, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R080567-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P72061 | Other | NY | LIMITED 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P72061 | NY | MD | Clinical Social Worker |
| R080567-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hartford Psychological Services, PC | Current | Accepting new patients | |
| Che Senior Psychological Services, PC | Clinical | Current | Accepting new patients |
| Herkimer County | Current | Accepting new patients | |
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Herkimer County | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Herkimer, NY
- NPI 1720174436
-
- Public Health or Welfare Agency
- Herkimer, NY
- NPI 1790129682
-
- Community/Behavioral Health Agency
- New Hartford, NY
- NPI 1558559849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.