MEDICARE: MS. BRENDA ANN LUKER 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
1	1041C0700X	Clinical Social Worker	3492833501	UT

General Provider Information

NPI Number	:	1770803421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRENDA ANN LUKER LCSW

Provider Business Mailing Address
First Line	:	925 EXECUTIVE PARK DR STE E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-3542
Country	:	US
Telephone Number	:	801-631-8191
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 EXECUTIVE PARK DR STE E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-3542
Country	:	US
Telephone Number	:	801-631-8191
Fax Number	:

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

Provider Enumeration Date	:	06/04/2010
Last Update Date	:	06/04/2010

Similar Medicare Providers

1497172746 — JUNIPER FAMILY COUNSELING
Practice Location Address:

925 E EXECUTIVE PARK DR STE E
MURRAY, UT
84117-3542

Practice Phone: 801-904-2284
Practice Fax:

1497051361 — ASHLEY MARIE PAYNE RN
Practice Location Address:

910 FOREST CITY BLVD NW
MAPLE LAKE, MN
55358-3542

Practice Phone: 612-695-8614
Practice Fax:

1710961693 — JOE TOLSON LCSW
Practice Location Address:

907 COLUMBUS ST , ORTHODOX DIOCESAN SERVICES
RAPID CITY, SD
57701-3542

Practice Phone: 605-341-2404
Practice Fax:

1275602302 — ECKERD YOUTH ALTERNATIVES, INC.
Practice Location Address:

7027 E STAGE COACH TRAIL
FLORAL CITY, FL
34436-3542

Practice Phone: 352-726-3883
Practice Fax: 352-726-3260

1891953220 — ELLEN COHEN
Practice Location Address:

60 S MAIN ST
NEW CITY, NY
10956-3542

Practice Phone: 845-634-6207
Practice Fax:

1073880050 — ADLIFE COMMUNITY SERVICES INC
Practice Location Address:

3018 ROADRUNNER WALK
MISSOURI CITY, TX
77459-3542

Practice Phone: 832-891-8665
Practice Fax: 866-277-0461

Directions to “ MS. BRENDA ANN LUKER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.