Active NPIIndividual providerSole proprietor

Mr. Jack Lu, LCSW, MSW

Social Worker, Clinical in Prospect, Connecticut

NPI Number1336369172
Practice location
44 Waterbury RD, Suite 2C, Prospect, CT 06712-1242
Fax
—
Last updated
February 17, 2015

Jack Lu is a Social Worker, Clinical based in Prospect, CT. Jack Lu practices in Prospect, CT and has the professional credentials of LCSW, MSW. The NPI Number for Jack Lu is 1336369172 and holds a License No. 006540 (CT). The current practice location address for Jack Lu is 44 Waterbury RD, Suite 2C, Prospect, CT 06712-1242 and can be reached out via phone at 860-878-5648.

Provider Profile Details

NPI Number
1336369172
Provider Name
Jack Lu
Credential
LCSW, MSW
Provider Entity Type
Individual
Gender
Male
Address
44 Waterbury RD, Suite 2C, Prospect, CT 06712-1242
Phone Number
860-878-5648
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2007
Last Update Date
February 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Waterbury RD
Suite 2C
Prospect, CT 06712-1242
Zip
06712-1242
Phone Number
860-878-5648
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
44 Waterbury RD
Suite 2C
Prospect, CT 06712-1242
City
Prospect
State
CT
Zip
06712-1242
Phone Number
860-878-5648

License Information

License Number
006540
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jack Lu, LCSW, MSW?

The NPI number of Mr. Jack Lu, LCSW, MSW is 1336369172. It was assigned on April 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jack Lu, LCSW, MSW?

Mr. Jack Lu, LCSW, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006540.

Where does Mr. Jack Lu, LCSW, MSW practice?

The practice location is 44 Waterbury RD, Suite 2C, Prospect, CT 06712-1242. The office can be reached at 860-878-5648 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336369172 directly on the NPPES registry website.

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