Lacy Dawn Green, is a
Social Worker - Clinical based in Gainesville, Missouri. Lacy Dawn Green is licensed to practice in Missouri (license number 2025037160) and her current practice location is
87 Elm St, Gainesville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 679-2775.
NPI number for Lacy Dawn Green is 1689554347 and her current mailing address is Po Box 1359, Ava, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689554347.
Healthcare Provider's Profile
| Full Name | Lacy Dawn Green |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 87 Elm St, Gainesville, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689554347
- Provider Enumeration Date: 09/04/2025
- Last Update Date: 09/04/2025
Medical Identifiers
Medical identifiers for Lacy Dawn Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689554347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 2025037160 (Missouri) | Primary |
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. Lacy Dawn Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lacy Dawn Green,
Po Box 1359,
Ava, MO 65608-1359
Ph: (417) 683-1111 | Lacy Dawn Green,
87 Elm St,
Gainesville, MO 65655-7131
Ph: (417) 679-2775 |
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