Kim E. Lucey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3676 Issued in OR

Practice address

1020 SW Taylor St Ste 700
1125
Portland, OR 97205-2512

Phone

(971) 225-0105

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1972841054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 700",
            "address_2": "1125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052512",
            "telephone_number": "971-225-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 700",
            "address_2": "1125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052512",
            "telephone_number": "971-225-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCEY",
        "first_name": "KIM",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653429",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Luce, M.D.
• Celia Estelle Paglin Luce, P.S.S
• Olivia Marie Lucero, MD
• Olivia Renee Lucero
• Lamuel Lucescu, DMD
• Courtney Lee Luchau, R.PH.
• Nathan Lucherini, D.P.T.
• Jonathan F Luchs, ND
• Philip Arthur Lucht
• Samantha Joe Luchtenburg

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.