Mr Blake John Lutz, LCSW is a
Social Worker - Clinical based in New Hill, North Carolina. Mr Blake John Lutz is licensed to practice in North Carolina (license number C007651) and his current practice location is
2925 Landon Ridge Dr, New Hill, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 593-5500.
NPI number for Mr Blake John Lutz is 1407374911 and his current mailing address is 2925 Landon Ridge Dr, New Hill, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407374911.
Healthcare Provider's Profile
| Full Name | Mr Blake John Lutz |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2925 Landon Ridge Dr, New Hill, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407374911
- Provider Enumeration Date: 09/05/2017
- Last Update Date: 09/05/2017
Medical Identifiers
Medical identifiers for Mr Blake John Lutz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407374911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C007651 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC05489300 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Blake John Lutz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Blake John Lutz, LCSW 2925 Landon Ridge Dr, New Hill, NC 27562-9305 Ph: (919) 593-5500 | Mr Blake John Lutz, LCSW 2925 Landon Ridge Dr, New Hill, NC 27562-2756 Ph: (919) 593-5500 |
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