Active NPIIndividual providerSole proprietor

Lucita C Clondas, LICSW

Social Worker, Clinical in Lakeville, Massachusetts

NPI Number1396016788
Practice location
12 Harding St Ste 206, Lakeville, MA 02347-1232
Fax
774-855-9994
Last updated
April 28, 2021

Lucita C Clondas is a Social Worker, Clinical based in Lakeville, MA. Lucita C Clondas practices in Lakeville, MA and has the professional credentials of LICSW. The NPI Number for Lucita C Clondas is 1396016788 and holds a License No. 116294 (MA). The current practice location address for Lucita C Clondas is 12 Harding St Ste 206, Lakeville, MA 02347-1232 and can be reached out via phone at 774-855-6974 and via fax at 774-855-9994.

Provider Profile Details

NPI Number
1396016788
Provider Name
Lucita C Clondas
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
12 Harding St Ste 206, Lakeville, MA 02347-1232
Phone Number
774-855-6974
Fax Number
774-855-9994
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2012
Last Update Date
April 28, 2021
Certification Date
April 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Harding St Ste 206
Lakeville, MA 02347-1232
Zip
02347-1232
Phone Number
774-855-6974
Fax Number
774-855-9994
Lakeville, MA 02347Get directions →

Provider Business Mailing Address Details

Address
Po Box 834
Assonet, MA 02702-0897
City
Assonet
State
MA
Zip
02702-0897
Phone Number
508-801-7959

License Information

License Number
116294
License State
MA
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 Lucita C Clondas, LICSW?

The NPI number of Lucita C Clondas, LICSW is 1396016788. It was assigned on January 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Lucita C Clondas, LICSW?

Lucita C Clondas, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116294.

Where does Lucita C Clondas, LICSW practice?

The practice location is 12 Harding St Ste 206, Lakeville, MA 02347-1232. The office can be reached at 774-855-6974 (phone) or 774-855-9994 (fax).

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 1396016788 directly on the NPPES registry website.

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