Lacey Clark, ACSW is a
Social Worker - Clinical based in Lancaster, California. Lacey Clark is licensed to practice in California (license number 110562) and her current practice location is
45244 32nd St W, Lancaster, California. She can be reached at her office (for appointments etc.) via phone at
(661) 270-8460.
NPI number for Lacey Clark is 1194446039 and her current mailing address is 2116 Arlington Ave Ste 100, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194446039.
Healthcare Provider's Profile
| Full Name | Lacey Clark |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 45244 32nd St W, Lancaster, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194446039
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 06/20/2023
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 |
|---|
| 101YM0800X | Counselor - Mental Health | 110562 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110562 (California) | 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. Lacey Clark 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 |
|---|
Lacey Clark, ACSW
2116 Arlington Ave Ste 100,
Los Angeles, CA 90018-1353
Ph: (323) 334-9000 | Lacey Clark, ACSW
45244 32nd St W,
Lancaster, CA 93536-8445
Ph: (661) 270-8460 |
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