TIMOTHY COREDON LUCAS (LICSW) – Clinical Social Worker, NPI 1376602334

TIMOTHY COREDON LUCAS (LICSW) is a healthcare provider. based in Willmar, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 10148 (MN). The NPI Number for TIMOTHY COREDON LUCAS (LICSW) is 1376602334

Main info

Male
35 Years Of Experience
Name
TIMOTHY COREDON LUCAS (LICSW)
NPI
1376602334
Phone
(320) 231-9148
Address
1125 6TH STREET SE
Enumeration Date
6 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3204417000
Graduation Year
1991 (35 years ago)
PAC ID
3870621626
Group Practice PAC ID
6800925157
Professional Enrollment ID
I20100514000586
Address ID
MN562014946WI1809XSWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for TIMOTHY COREDON LUCAS (LICSW)

  • 1125, 6th Street Southeast, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WOODLAND CENTERS

    WILLMAR, MN 562014675

    Phone: (320) 231-9148

    Fax: (320) 231-9140

    Type: Location

  • 172, Lakeview Drive, Spicer, Kandiyohi County, Minnesota, 56288, United States

    SPICER, MN 56288

    Phone: (320) 235-4613

    Fax: (320) 231-9140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100514000586IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour23931$0
90834Psychotherapy, 45 minutes2111$0
View full utilization report →

Insurance plans in this area (ZIP 56201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800925157View full group profile
NameSpecialtyState
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Can I verify TIMOTHY COREDON LUCAS (LICSW) with an NPI only?
You can start verification with NPI 1376602334 for TIMOTHY COREDON LUCAS (LICSW), then check state licensing separately.
Is TIMOTHY COREDON LUCAS (LICSW) listed as active for patients and plans?
The listing shows TIMOTHY COREDON LUCAS (LICSW) as active in the NPI system.
What taxonomy line describes TIMOTHY COREDON LUCAS (LICSW)?
For research purposes, treat TIMOTHY COREDON LUCAS (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TIMOTHY COREDON LUCAS (LICSW) on a map?
Expect Willmar, Minnesota as a primary anchor for TIMOTHY COREDON LUCAS (LICSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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