Provider Demographics
NPI:1750452017
Name:SMUCKER, LUELLEN ARTRESS (LCSW)
Entity Type:Individual
Prefix:
First Name:LUELLEN
Middle Name:ARTRESS
Last Name:SMUCKER
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 1:1601 MILLTOWN RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4027
Mailing Address - Country:US
Mailing Address - Phone:302-999-1240
Mailing Address - Fax:302-999-1240
Practice Address - Street 1:1601 MILLTOWN RD
Practice Address - Street 2:SUITE 8
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4027
Practice Address - Country:US
Practice Address - Phone:302-999-1240
Practice Address - Fax:302-999-1240
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00002881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE011072OtherVALUE OPTIONS, INC.
DE1000032872Medicaid
DE4336196OtherAETNA INSURANCE
DE173597OtherMANAGED HEALTH NETWORK
DE162254OtherCOMPSYCH CORPORATION
DE510-35-638HOtherDE BLUE CROSS BLUE SHIELD
DE62-96023OtherUNITED HEALTHCARE SRVCS
DE62-96023OtherUNITED HEALTHCARE SRVCS