Individual
MRS. BARBARA-ANN KELLY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7268B HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1706
(804) 339-4126
Mailing address
9302 BLAGDON DR, MECHANICSVILLE, VA 23116-4104
(804) 339-4126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152693
CAQH
VA
01
—
318147
ANTHEM BLUE CROSS/BLUE SH
VA
Enumeration date
08/22/2006
Last updated
07/09/2007
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