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NPI Code Detail

MEDICARE: MS. DENISE LUCERO LCSW

MEDICARE:  MS. DENISE  LUCERO  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 Worker

General Provider Information

NPI Number : 1619621240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE LUCERO LCSW
Provider Business Mailing Address
First Line : 3750 72ND ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6143
Country : US
Telephone Number : 844-692-4692
Fax Number :
Provider Business Practice Location Address
First Line : 3750 72ND ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6143
Country : US
Telephone Number : 844-692-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2022
Last Update Date : 07/08/2025

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Directions to “ MS. DENISE LUCERO LCSW” Practice Location

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