Healthcare Provider Details

I. General information

NPI: 1356262075
Provider Name (Legal Business Name): LUCY HARTSOCK LCSWA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W LAKEWOOD AVE
DURHAM NC
27707-1133
US

IV. Provider business mailing address

1800 W LAKEWOOD AVE
DURHAM NC
27707-1133
US

V. Phone/Fax

Practice location:
  • Phone: 919-335-3447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023784
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: