Active NPI
Elizabeth A Lucarelli, LCSW, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1932456696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10228
- Practice address
- 4646 John R St
Detroit, MI 48201-1916 - Phone
- (313) 576-1461
- NPI assigned
- Aug 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801100735 | MI | |
| Clinical Social Worker | 1041C0700X | SW10228 | FL | Primary |
Addresses
Primary practice location
4646 John R St
Detroit, MI 48201-1916
Mailing address
23007 Violet St
Farmington, MI 48336-3380
Phone (586) 876-7073
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0111
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10228 | FL | MD | Clinical Social Worker |
| 6801100735 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1932456696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23007 VIOLET ST",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363380",
"telephone_number": "586-876-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011916",
"telephone_number": "313-576-1461"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCARELLI",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-12",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100735",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.