Provider Demographics
NPI:1801691282
Name:LUCERO, DARLINE (LMSW)
Entity type:Individual
Prefix:
First Name:DARLINE
Middle Name:
Last Name:LUCERO
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 LOMAS BLVD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1955
Mailing Address - Country:US
Mailing Address - Phone:505-247-7492
Mailing Address - Fax:505-422-4232
Practice Address - Street 1:833 LOMAS BLVD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1955
Practice Address - Country:US
Practice Address - Phone:505-247-7492
Practice Address - Fax:505-422-4232
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-00431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical