Ms Stephanie Jordan Lucas, MSW, LCSWA | |
501 Keisler Dr Ste 104, Cary, NC 27518-9322 | |
(919) 617-9656 | |
Not Available |
Full Name | Ms Stephanie Jordan Lucas |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 501 Keisler Dr Ste 104, Cary, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275207862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P016374 (North Carolina) | Primary |
Entity Name | Mindly Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306196944 PECOS PAC ID: 3072744028 Enrollment ID: O20140317000413 |
Mailing Address | Practice Location Address |
---|---|
Ms Stephanie Jordan Lucas, MSW, LCSWA 8406 Six Forks Rd Ste 204, Raleigh, NC 27615-3074 Ph: (919) 617-9656 | Ms Stephanie Jordan Lucas, MSW, LCSWA 501 Keisler Dr Ste 104, Cary, NC 27518-9322 Ph: (919) 617-9656 |
Ms. Amanda Lee Morris, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 531 Keisler Dr Ste 104, Cary, NC 27518 Phone: 919-439-9323 | |
Illyana Antoinese Massey, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Fountain Brook Cir Ste B, Cary, NC 27511 Phone: 980-328-1775 | |
Olivia Sandin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Towerview Ct, Cary, NC 27513 Phone: 919-585-5085 | |
Mrs. Lee Vang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Westover Hills Dr, Cary, NC 27513 Phone: 828-493-7517 | |
Huma Hasan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Towerview Ct, Cary, NC 27513 Phone: 919-585-5085 | |
Sara J Rosenblatt, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9003 Weston Pkwy, Cary, NC 27513 Phone: 919-677-1400 | |
Mrs. Lisa Ann Antonick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 105 Longleaf Pl, Cary, NC 27518 Phone: 518-669-1798 |