Individual provider Active NPI

Lacy Osborne, LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1003211400
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20219 Issued in MN
Practice address
151 Saint Andrews CT Ste 200
Mankato, MN 56001-8810
Phone
(507) 705-5415
Fax
(507) 607-8845
NPI assigned
Oct 28, 2014
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20219 MN Primary

Addresses

Primary practice location

151 Saint Andrews CT Ste 200
Mankato, MN 56001-8810

Mailing address

151 Saint Andrews CT Ste 200
Mankato, MN 56001-8810
Phone (507) 705-5415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209002279 MN Practitioner - Clinical Social Worker 5597087130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Counseling, LLCGroup PAC ID 0840665774, 7 clinicians

Practice addresses (Care Compare)

100 Warren St
Suite 345
Mankato, MN 56001-3762

151 Saint Andrews CT
Suite 200
Mankato, MN 56001-8810
Phone (507) 705-5415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20219MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical CurrentSince Oct 21, 2017 Accepting new patients
North Counseling, LLC Clinical CurrentSince Feb 2, 2023 Accepting new patients
Pride Counseling Services PLLC Clinical PastSince Oct 1, 2021 Accepting new patients

Locations

13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282

332 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 481-9408

100 Warren St
Ste 324
Mankato, MN 56001
Phone (507) 246-2667

100 Warren St
Ste 345
Mankato, MN 56001
Phone (507) 519-2270

151 Saint Andrews Ct
Ste 200
Mankato, MN 56001
Phone (507) 705-5415

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 252-4830

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 307-5148

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1003211400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 200",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018810",
            "telephone_number": "507-705-5415",
            "fax_number": "507-607-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 200",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018810",
            "telephone_number": "507-705-5415",
            "fax_number": "507-607-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "LACY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.