Provider Demographics
NPI:1154417376
Name:SHICK, LUCY M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:M
Last Name:SHICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LUCY
Other - Middle Name:E
Other - Last Name:MONROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:524 NORTH TEJON STREET
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903
Mailing Address - Country:US
Mailing Address - Phone:719-475-2542
Mailing Address - Fax:
Practice Address - Street 1:524 NORTH TEJON STREET
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:719-475-2542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8762021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical