Active NPI
Alejandro Lucas, LCSW
- Clinical Social Worker
- Santa Fe Springs, CA
National Provider Identifier
1891827606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW24415
- Practice address
- 11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835 - Phone
- (562) 942-8256
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW15884 | CA | |
| Clinical Social Worker | 1041C0700X | LCS24415 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW24415 | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835
Mailing address
5016 Stacy St
Hawthorne, CA 90250-4119
Phone (310) 795-0699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007303 | Medicaid | CA | |
| 0007300 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW15884 | CA | MD | Clinical Social Worker |
| LCS24415 | CA | MD | Clinical Social Worker |
| LCSW24415 | CA | MD | Clinical Social Worker |
| 24415 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Community Counseling Service, a Non-Profit Corporation | Past | Accepting new patients |
Organizations & group practices 1
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)
- Los Angeles, CA
- NPI 1053449900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1891827606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 STACY ST",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504119",
"telephone_number": "310-795-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD STE A",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706835",
"telephone_number": "562-942-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ALEJANDRO",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW15884",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS24415",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW24415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007303",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.