Active NPI
Beth Anne Lucia, LSW
- Social Worker
- Willingboro, NJ
National Provider Identifier
1952544090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL04591200
- Practice address
- 218A Sunset Rd
Screening, Crisis & Intervention Program (Scip)
Willingboro, NJ 08046-1110 - Phone
- (609) 835-6180
- Fax
- (609) 835-7962
- NPI assigned
- Apr 18, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SL04591200 | NJ | |
| Social Worker | 104100000X | 44SL04591200 | NJ | Primary |
Addresses
Primary practice location
218A Sunset Rd
Screening, Crisis & Intervention Program (Scip)
Willingboro, NJ 08046-1110
Mailing address
1289 Route 38
Hainesport, NJ 08036-2730
Phone (609) 267-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | NJ | BEHAVIORAL HEALTH SERVICES |
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 |
|---|---|---|---|
| 44SL04591200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1952544090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 ROUTE 38",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362730",
"telephone_number": "609-267-5656",
"fax_number": "609-267-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218A SUNSET RD",
"address_2": "SCREENING, CRISIS & INTERVENTION PROGRAM (SCIP)",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461110",
"telephone_number": "609-835-6180",
"fax_number": "609-835-7962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIA",
"first_name": "BETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-18",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SL04591200",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL04591200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH SERVICES",
"identifier": "174400000X",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.