Provider Demographics
NPI:1417253162
Name:LUCIAN, MAGGIE REBECCA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:REBECCA
Last Name:LUCIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 BLUEBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:CT
Mailing Address - Zip Code:06752-1340
Mailing Address - Country:US
Mailing Address - Phone:203-241-8333
Mailing Address - Fax:
Practice Address - Street 1:92 BLUEBERRY HILL RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:CT
Practice Address - Zip Code:06752-1340
Practice Address - Country:US
Practice Address - Phone:203-241-8333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2023-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT008050935OtherHP MEDICAID
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT1270722OtherCAQH
CT539525OtherMHN TRICARE NORTH- WELLMORE
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT539525OtherMHN MANAGED HEALTH NETWORK-WELLMORE
CT1659821833Medicaid
CT5706769OtherAETNA BEHAVIORAL HEALTH
CT4930108OtherCIGNA BEHAVIORAL HEALTH
CT060669107OtherUBH OXFORD LIBERTY/FREEDOM HEALTH WELLMORE GRP/FACILITY
CT060669107OtherUNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY
CTD339209OtherVALUE OPTIONS/BEACON HEALTH STRATEGIES