| Lacy J Kerr, Lscsw, Llc | |
|
1999 N Amidon Ave Ste 208 Wichita KS 67203-2123 | |
| (316) 440-4291 | |
| (316) 440-4449 |
| Full Name | Lacy J Kerr, Lscsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1999 N Amidon Ave Ste 208, Wichita, Kansas |
| Authorized Official Name and Position | Lacy Jean Kerr (THERAPIST/OWNER) |
| Authorized Official Contact | 3164404291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy J Kerr, Lscsw, Llc 1999 N Amidon Ave Ste 208 Wichita KS 67203-2123 Ph: (316) 440-4291 | Lacy J Kerr, Lscsw, Llc 1999 N Amidon Ave Ste 208 Wichita KS 67203-2123 Ph: (316) 440-4291 |
| NPI Number | 1053786293 |
|---|---|
| Provider Enumeration Date | 12/13/2015 |
| Last Update Date | 12/13/2015 |
| Medicare PECOS PAC ID | 7214459858 |
|---|---|
| Medicare Enrollment ID | O20250324001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053786293 | NPI | - | NPPES |
| 1780843631 | Other | KS | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4487 (Kansas) | Primary |
| Provider Name | Lacy J Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780843631 PECOS PAC ID: 3072036094 Enrollment ID: I20250401000449 |
Wichita State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Fairmount Box 91, Wichita, KS 67260 Phone: 502-821-7904 | |
Wichita Ocd Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N Exposition St, Wichita, KS 67203 Phone: 316-854-3520 | |
Manatee Care P.a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4925 S Broadway Ave Unit 8181, Wichita, KS 67216 Phone: 213-558-4348 | |
Change Your Life Enterprises, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9505 W. Central, Ste. 103, Wichita, KS 67212 Phone: 316-721-0971 Fax: 316-512-4070 | |
Counseling & Mediation Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Douglas Ave Ste 560, Wichita, KS 67202 Phone: 316-269-2322 Fax: 316-269-2448 | |
Family Consultation Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N. Exposition, Wichita, KS 67203 Phone: 316-264-8317 Fax: 316-264-0347 | |
Pathway Church Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Maize Rd, Wichita, KS 67212 Phone: 316-722-8020 Fax: 316-722-4297 |