MEDICARE: MR. EDWIN NEWTON LUCAS LPC, LMFT

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	101Y00000X	Counselor	0701001651	VA
2	106H00000X	Marriage & Family Therapist	0717000450	VA

General Provider Information

NPI Number	:	1568556496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWIN NEWTON LUCAS LPC, LMFT

Provider Business Mailing Address
First Line	:	801 CHILDRENS CENTER RD SW
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20175-2545
Country	:	US
Telephone Number	:	703-777-3485
Fax Number	:	703-777-4887

Provider Business Practice Location Address
First Line	:	801 CHILDRENS CENTER RD SW
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20175-2545
Country	:	US
Telephone Number	:	703-777-3485
Fax Number	:	703-777-4887

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

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