Provider Demographics
NPI:1104292085
Name:LUCARELLI, CASEY (LCSW)
Entity type:Individual
Prefix:MISS
First Name:CASEY
Middle Name:
Last Name:LUCARELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:LUCARELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:21963 E OXFORD PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-3092
Mailing Address - Country:US
Mailing Address - Phone:203-305-8816
Mailing Address - Fax:
Practice Address - Street 1:21963 E OXFORD PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-3092
Practice Address - Country:US
Practice Address - Phone:203-305-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program