Doctor Name: | JACQUELINE LUCAS |
NPI Number: | 1073783809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05348400 |
Business Practice Address: | 1683 Route 88 W Brick, NJ - 087243050 |
Business Phone Number: | 7328405266 |
Business Fax Number: | |
Mailing Address: | 95 Joan Ct, JACKSON |
State: | NJ |
Postal Code: | 085272365 |
Phone Number: | 7329010164 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05348400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |