Individual provider · Type 1 NPI

Juan Lucero, LCSW-38062

Clinical Social Worker · Pocatello, ID

NPI number 1821463704 Active

Practice location

412 W Center St Ste 300
Pocatello, ID 83204-3238

Call (208) 406-9323 Map

Mailing address

957 Highland Blvd
Pocatello, ID 83204-4730

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-38062 (ID)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1821463704

Juan Lucero, LCSW-38062's National Provider Identifier is 1821463704, issued on Dec 3, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Jan 7, 2021.