Provider Demographics
NPI:1962059824
Name:LUKAS, VICTORIA CATHERINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:CATHERINE
Last Name:LUKAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2609
Mailing Address - Country:US
Mailing Address - Phone:201-981-8847
Mailing Address - Fax:
Practice Address - Street 1:310 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2609
Practice Address - Country:US
Practice Address - Phone:201-981-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-24
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0881311041C0700X
NJ44SC059869001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical