LUCAS BLAIR (LSW, LICDC) – Clinical Social Worker, NPI 1033545520

LUCAS BLAIR (LSW, LICDC) is a healthcare provider. based in Moraine, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LSW, LICDC. They hold a License No. LICDC.162201 (OH). The NPI Number for LUCAS BLAIR (LSW, LICDC) is 1033545520

Main info

Male
Name
LUCAS BLAIR (LSW, LICDC)
NPI
1033545520
Phone
(937) 397-1202
Address
2337 NED DR
Enumeration Date
17 September 2013
Last Update Date
12 December 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

Provider Addresses for LUCAS BLAIR (LSW, LICDC)

  • 2337 NED DR

    MORAINE, OH 454392821

    Phone: (937) 397-1202

    Type: Mailing

  • 2611 WAYNE AVE

    DAYTON, OH 454201833

    Phone: (937) 228-0579

    Type: Location

  • 452 W Market St

    Xenia, OH 453852815

    Phone: (937) 376-8700

    Fax: (937) 376-8725

    Type: Location

  • 2317 E Home Rd

    Springfield, OH 455032520

    Phone: (937) 390-8060

    Type: Location

  • 2611 Wayne Ave

    Dayton, OH 454201833

    Phone: (937) 228-0579

    Type: Location

  • 100 CROWNE POINT PL

    CINCINNATI, OH 452415427

    Phone: (513) 743-7628

    Fax: (513) 737-1107

    Type: Mailing

  • 3103 DIXIE HWY

    HAMILTON, OH 450151653

    Phone: (513) 892-4673

    Fax: (513) 737-1107

    Type: Mailing

  • 36 N DETROIT ST

    XENIA, OH 453852909

    Phone: (937) 610-4673

    Fax: (937) 736-2615

    Type: Location

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: 2024-03-09

PECOS data refreshed: 2026-06-15

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
I20240309000514IMental Health CounselorOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45439)

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Reviews

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Frequently asked questions

What is the standard ID for LUCAS BLAIR (LSW, LICDC) in the U.S.?
In the U.S., LUCAS BLAIR (LSW, LICDC) is identified by NPI 1033545520.
Should I treat LUCAS BLAIR (LSW, LICDC) as an active provider?
Patients and plans typically see LUCAS BLAIR (LSW, LICDC) as active in the national extract.
How should patients interpret LUCAS BLAIR (LSW, LICDC)'s specialty?
The extract shows Clinical Social Worker for LUCAS BLAIR (LSW, LICDC). Clinical services aligned with this taxonomy classification.
Can patients visit LUCAS BLAIR (LSW, LICDC) in Moraine, Ohio?
For routing, start with Moraine, Ohio for LUCAS BLAIR (LSW, LICDC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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