Provider Demographics
NPI:1962832972
Name:LUCAS, CHERYL (LSCW)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N WARREN ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-4741
Mailing Address - Country:US
Mailing Address - Phone:609-278-5900
Mailing Address - Fax:609-396-1526
Practice Address - Street 1:433 BELLEVUE AVE FL 4
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-4514
Practice Address - Country:US
Practice Address - Phone:609-278-5900
Practice Address - Fax:609-396-1526
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057580001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical