Individual provider Active NPI

Kandice Sherice Lacy, LISW-S

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1043957418
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002469 Issued in OH
Practice address
650 Dan St
Akron, OH 44310-3989
Phone
(330) 643-2861
Fax
(330) 643-7758
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 I.2002469 OH Primary

Addresses

Primary practice location

650 Dan St
Akron, OH 44310-3989

Mailing address

440 Munroe Falls Ave Apt 16
Cuyahoga Falls, OH 44221-3487
Phone (330) 808-7373

Other practice location 1

177 W Exchange St # 1
Akron, OH 44302-1706
Phone (330) 543-7472

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address klacy@akronchildrens.org Direct
Direct Messaging Address klacy@akronchildrens.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2002469OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1043957418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MUNROE FALLS AVE APT 16",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213487",
            "telephone_number": "330-808-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 DAN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103989",
            "telephone_number": "330-643-2861",
            "fax_number": "330-643-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 W Exchange St # 1",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443021706",
            "country_code": "US",
            "telephone_number": "330-543-7472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACY",
        "first_name": "KANDICE",
        "middle_name": "SHERICE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klacy@akronchildrens.org",
            "affiliation": "N",
            "endpointDescription": "Work Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "177 W Exchange St # 1",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443021706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klacy@akronchildrens.org",
            "affiliation": "N",
            "endpointDescription": "Hospital Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "177 W Exchange St # 1",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443021706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.