Timothy Coredon Lucas in Spicer - Clinical
Timothy Coredon Lucas - NPI 1376602334
Timothy Coredon Lucas is a Clinical in Spicer, Minnesota. Timothy Coredon Lucas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Coredon Lucas is 1376602334. The last update date is 2007-07-08.
Timothy Coredon Lucas's current location address is 172 Lakeview Drive, Spicer, Minnesota. You can contact this provider via phone number 3202354613 and fax number 3202319140. The mailing address for Timothy Coredon Lucas is 172 Lakeview Drive, Spicer, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Coredon Lucas |
|---|---|
| Address | 172 Lakeview Drive, Spicer, Minnesota |
| Phone Number | 3202354613 |
| Fax Number | 3202319140 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1376602334 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 172 Lakeview Drive |
|---|---|
| City | Spicer |
| State | Minnesota (MN) |
| Post Code | 56288 |
| Phone Number | 3202354613 |
| Fax Number | 3202319140 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10148 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115361 | UCARE | ||
| 6H675LU | BLUE CROSS | ||
| 1013106 | PREFERRED ONE | ||
| 6230516 | UBH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy Coredon Lucas?
The Timothy Coredon Lucas has been issued the NPI (National Provider Identifier) 1376602334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Timothy Coredon Lucas is physically located?
The Timothy Coredon Lucas is situated at the following address: 172 Lakeview Drive, Spicer, MN 56288.
What is Timothy Coredon Lucas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Coredon Lucas is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Timothy Coredon Lucas's 1376602334 issued?
The Timothy Coredon Lucas's 1376602334 was issued on 2006-12-06.
When was the information related to Timothy Coredon Lucas most recently updated or refreshed?
The details pertaining to the Timothy Coredon Lucas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.