Individual provider Active NPI

Carol A Lucas, LCSW

  • Clinical Social Worker
  • Garden City, NY
National Provider Identifier
1982811485
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
066727-1 Issued in NY
Practice address
1 South Ave
University Center Room 310
Garden City, NY 11530-4213
Phone
(631) 774-8653
Fax
(516) 877-3139
NPI assigned
May 16, 2007
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 066727-1 NY Primary

Addresses

Primary practice location

1 South Ave
University Center Room 310
Garden City, NY 11530-4213

Mailing address

144 Country Lake CT
West Babylon, NY 11704-5094
Phone (631) 774-8653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528001336 NY Practitioner - Clinical Social Worker 5496736985 Practice locations: Hauppauge, NY; Commack, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Veterans Memorial Hwy
Suite 202
Hauppauge, NY 11788-2943
Phone (631) 774-8653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
066727-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Developmental Psychology 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1982811485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 COUNTRY LAKE CT",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045094",
            "telephone_number": "631-774-8653",
            "fax_number": "516-877-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH AVE",
            "address_2": "UNIVERSITY CENTER ROOM 310",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304213",
            "telephone_number": "631-774-8653",
            "fax_number": "516-877-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "066727-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.