Provider Demographics
NPI:1164995270
Name:LUCAS, HEATHER MEINHARDT (LMSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MEINHARDT
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 W BEHREND DR APT 2092
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6951
Mailing Address - Country:US
Mailing Address - Phone:301-325-7938
Mailing Address - Fax:
Practice Address - Street 1:19777 N 76TH ST APT 2246
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3821
Practice Address - Country:US
Practice Address - Phone:480-263-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-20954104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker