| Ms Stephanie Jordan Lucas, MSW, LCSWA | |
| 
					501 Keisler Dr Ste 104, Cary, NC 27518-9322  | |
| (919) 617-9656 | |
| Not Available | 
| Full Name | Ms Stephanie Jordan Lucas | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 501 Keisler Dr Ste 104, Cary, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275207862 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P016374 (North Carolina) | Primary | 
| Entity Name | Mindly Group, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306196944 PECOS PAC ID: 3072744028 Enrollment ID: O20140317000413  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Stephanie Jordan Lucas, MSW, LCSWA 8406 Six Forks Rd Ste 204, Raleigh, NC 27615-3074 Ph: (919) 617-9656  | Ms Stephanie Jordan Lucas, MSW, LCSWA 501 Keisler Dr Ste 104, Cary, NC 27518-9322 Ph: (919) 617-9656  | 
Ms. Amanda Lee Morris, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 531 Keisler Dr Ste 104, Cary, NC 27518 Phone: 919-439-9323  | |
Illyana Antoinese Massey, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Fountain Brook Cir Ste B, Cary, NC 27511 Phone: 980-328-1775  | |
Olivia Sandin,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Towerview Ct, Cary, NC 27513 Phone: 919-585-5085  | |
Mrs. Lee Vang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Westover Hills Dr, Cary, NC 27513 Phone: 828-493-7517  | |
Huma Hasan,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Towerview Ct, Cary, NC 27513 Phone: 919-585-5085  | |
Sara J Rosenblatt, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9003 Weston Pkwy, Cary, NC 27513 Phone: 919-677-1400  | |
Mrs. Lisa Ann Antonick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 105 Longleaf Pl, Cary, NC 27518 Phone: 518-669-1798  |