Most Relevant Information
Provider Data
| NPI Number: | 1003487240 |
| Provider Name: | LUCAS NELSON ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | ASW100863 |
Most Important Dates
| Enumeration Date: | 07/08/2021 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
669 COUNTY SQUARE DR STE 101
VENTURA
CA
930039029
Practice Location Phone/Fax
| Phone: | 8056626973 |
| Fax: |
Provider Mailing Location
669 COUNTY SQUARE DR STE 101
VENTURA
CA
930039029
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |