Doctor Name: | MS. VICTORIA F. LUCKING |
NPI Number: | 1104124288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | COO3763 |
Business Practice Address: | 109 E Oak St Selma, NC - 275762845 |
Business Phone Number: | 9195029361 |
Business Fax Number: | |
Mailing Address: | 4612 Groundnut Ct, RALEIGH |
State: | NC |
Postal Code: | 276134138 |
Phone Number: | 9197409821 |
Fax Number: | 9195106090 |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | COO3763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |