MEDICARE: BARBARA LUCCI M.ED, M.S.W.,L.C.S.W

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
1	104100000X	Social Worker	220331	MA

General Provider Information

NPI Number	:	1225400740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA LUCCI M.ED, M.S.W.,L.C.S.W

Provider Business Mailing Address
First Line	:	162 CHANDLER ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-2924
Country	:	US
Telephone Number	:	508-269-6115
Fax Number	:	508-860-1046

Provider Business Practice Location Address
First Line	:	162 CHANDLER ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-2924
Country	:	US
Telephone Number	:	508-269-6115
Fax Number	:	508-860-1046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2015
Last Update Date	:	10/23/2015

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