Savannah Jewel Lackey, MSW, LCSW-A, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017168 Issued in NC

Practice address

5841 US 421 S
Lillington, NC 27546-6713

Phone

(910) 893-5727

Fax

(910) 893-6404

NPI assigned

Jan 27, 2022

Last updated

Feb 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: savannah.lackey.p1@direct.daymarkrecovery.nextgenshare.com

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.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Clinical

  NPD (past)

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1073266334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 US 421 S",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466713",
            "telephone_number": "108-935-7279",
            "fax_number": "910-893-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 US 421 S",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466713",
            "telephone_number": "910-893-5727",
            "fax_number": "910-893-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "SAVANNAH",
        "middle_name": "JEWEL",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW-A, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackelyn Knight, MS, LAT, ATC
• Paul Mark Kocsis, MD
• Justin Robert Kozlowski, PT, DPT
• Cristina Kuizon
• Laboratory Corporation of America Holdings
• Jumoke M Ladapo-Wilson, M.D.
• Lataya Denise Ladson, RN
• Maria Victoria Laipple, LCAS-A
• Kristen Lair-Baker
• Charli Lame

• Clinical Social Worker in Lillington, NC
• Providers in Lillington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.