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NPI Code Detail

MEDICARE: LUCAS SANCHEZ LCSW

MEDICARE: LUCAS SANCHEZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-11046NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245784867
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS SANCHEZ LCSW
Provider Business Mailing Address
First Line : 2900 LOUISIANA BLVD NE STE A1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3550
Country : US
Telephone Number : 505-570-0399
Fax Number :
Provider Business Practice Location Address
First Line : 2900 LOUISIANA BLVD NE STE A1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3550
Country : US
Telephone Number : 505-570-0399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 11/22/2024

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Directions to “ LUCAS SANCHEZ LCSW” Practice Location

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