Provider Demographics
NPI:1982283180
Name:LUCAREVSKI, ASHLEE (MSW)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:
Last Name:LUCAREVSKI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 W PALMETTO PARK RD APT 409
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3741
Mailing Address - Country:US
Mailing Address - Phone:561-465-6999
Mailing Address - Fax:
Practice Address - Street 1:290 W PALMETTO PARK RD APT 409
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3741
Practice Address - Country:US
Practice Address - Phone:561-465-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health