Individual
JESSIE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCSW
Contact information
Practice address
821 W PERSHING BLVD, CHEYENNE, WY 82001-2537
(307) 421-9329
Mailing address
821 W PERSHING BLVD, CHEYENNE, WY 82001-2537
(307) 421-9329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1646
WY
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/14/2018
Last updated
10/28/2025
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