Individual
CAROL D LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
255 E WATT ST, ALCOA, TN 37701-2236
(865) 273-1616
(865) 273-1645
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04424
STATE LICENSE
TN
05
—
3373630
—
TN
Enumeration date
01/25/2007
Last updated
03/03/2020
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