Provider Demographics
NPI:1841618089
Name:LUCEY, KATHERINE MACAULAY (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MACAULAY
Last Name:LUCEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:195-199 WEST DOMINICK STREET
Mailing Address - Street 2:BEHAVIORAL HEALTH - ROME - THE NEIGHBORHOOD CENTER
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-272-2748
Mailing Address - Fax:315-272-2740
Practice Address - Street 1:293 GENESEE STREET
Practice Address - Street 2:THE NEIGHBORHOOD CENTER, INC. HUMAN RESOURCES
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501
Practice Address - Country:US
Practice Address - Phone:315-272-2600
Practice Address - Fax:315-272-2628
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091351-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker