Lacy J Kerr, Lscsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4487 Issued in KS

Legal business name

LACY J KERR, LSCSW, LLC

Practice address

1999 N Amidon Ave Ste 208
Wichita, KS 67203-2123

Phone

(316) 440-4291

Fax

(316) 440-4449

NPI assigned

Dec 13, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Lacy Jean Kerr, LSCSWNPI 1780843631

Title

Therapist/Owner

Phone

(316) 440-4291

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lacy Jean Kerr, LMSW

  • Social Worker
  • Wichita, KS
  • NPI 1780843631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449964800000",
    "number": "1053786293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-440-4291",
            "fax_number": "316-440-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-440-4291",
            "fax_number": "316-440-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY J KERR, LSCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "316-440-4291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780843631",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Skye D Lacey, PA-C
• Rupert Biacora Laco, RN
• Alice M Lacy, P.A.
• Emma Lacy, LMFT
• Amy Elizabeth Lafleur, DPT
• Leighton Jo Lafleur
• Shalom M Laforge, D.C.

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.