Individual
ROCKY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, MSW
Contact information
Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 205-7535
(304) 205-7536
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00944158
WV
Other
Enumeration date
08/19/2015
Last updated
05/21/2020
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