Lacey Clark, LCSW in Lancaster, CA - Medicare Social Worker Provider

Lacey Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lancaster, California. Her current practice location is 45244 32nd St W, Lancaster, California. You can reach out to her office (for appointments etc.) via phone at (661) 270-8460.

Lacey Clark is licensed to practice in California (license number 128556) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194446039.

Contact Information

	Lacey Clark, LCSW
	45244 32nd St W, Lancaster, CA 93536-8445
	(661) 270-8460
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	45244 32nd St W, Lancaster, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194446039
Provider Enumeration Date: 09/08/2022
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 5193244242
Enrollment ID: I20250522000247

Medical Identifiers

Medical identifiers for Lacey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194446039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	108193 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	128556 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lacey Clark allows following entities to bill medicare on her behalf.

Entity Name	The People Concern
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306977459 PECOS PAC ID: 7214150382 Enrollment ID: O20210108002442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacey Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lacey Clark, LCSW 2116 Arlington Ave Ste 100, Los Angeles, CA 90018-1353 Ph: (323) 334-9000	Lacey Clark, LCSW 45244 32nd St W, Lancaster, CA 93536-8445 Ph: (661) 270-8460

Reviews and Comments

Social Worker in Lancaster, CA

Martin Patterson Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 44648 15th St W, Lancaster, CA 93534 Phone: 661-463-0501
Charesse Del Shawndra Branch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3154 Darkwood St, Lancaster, CA 93536 Phone: 661-609-9147
Mrs. Cynthia N Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43520 Division St, Lancaster, CA 93535 Phone: 661-266-4783 Fax: 661-266-1210
Mr. James Milton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43839 15th St W, High Desert Medical Group, Lancaster, CA 93534 Phone: 661-945-5984 Fax: 661-951-3192
Kendall Marie Dillard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43520 Division St, Lancaster, CA 93535 Phone: 661-266-4783 Fax: 661-266-1210
Janet Garcia, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1652 W Avenue J, Lancaster, CA 93534 Phone: 661-249-6859
Satwonya Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44443 10th St W, Lancaster, CA 93534 Phone: 661-726-2630

Lacey Clark, LCSW - Medicare Clinical Social Worker in Lancaster, CA