Look up the most recent NPI and PECOS records

Lucas Robert Blackwood

Social Worker

Behavioral Health & Social Service Providers

4633 Aicholtz Rd, Cincinnati, OH 45244-1447

PECOS Enrollment

Based on the most recent information from CMS, provider Lucas Robert Blackwood does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609504695
Provider Type
Individual
Full Name
Blackwood, Lucas Robert
Gender
Male

Sole Proprietor
No
Enumeration Date
8/9/2022
Last Updated
5/28/2024

Contact Information

Practice Location

4633 Aicholtz Rd, Cincinnati, OH 45244-1447

(513) 752-1555

Unlisted Fax

Mailing Location

4629 Aicholtz Rd, Cincinnati, OH 45244-1551

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.2410774 Ohio
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License S.2302825-TRNE Ohio
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Lucas Robert Blackwood

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Grabowski, Susan Marion

Weigel, Victoria E

Huber, Mackenzie

Brazier, Sela

Shuller, Anna Kathryn

King, Hanna Nicole

Weaver, Taylor

Dean, Eric

Beal, Alec Russell

Reis, Stephanie Ann