Provider Demographics
NPI:1659615250
Name:LUCAS, VALERIE LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:LYNN
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 SABATTUS ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-4120
Mailing Address - Country:US
Mailing Address - Phone:207-560-7108
Mailing Address - Fax:207-871-1232
Practice Address - Street 1:581 SABATTUS ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-4120
Practice Address - Country:US
Practice Address - Phone:207-560-7108
Practice Address - Fax:207-795-0485
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC138101041C0700X
MELC154151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical