Active NPI
Lacey L Mills
- Clinical Social Worker
- Fort Sam Houston, TX
National Provider Identifier
1114413598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4586
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (800) 443-2262
- NPI assigned
- Jul 9, 2018
- Last updated
- May 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | 4586 | HI | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6661
Other practice location 2
559 Vincent St
Space Base Delta 1
Peterson Space Force Base, CO 80914-1541
Phone (719) 524-2273
Other practice location 3
BLDG 683 Waianae Ave
Schofield Barracks, HI 96786
Phone (808) 433-8500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4586 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1114413598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "800-443-2262"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-6661",
"fax_number": "808-433-1551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "559 Vincent St",
"address_2": "Space Base Delta 1",
"address_purpose": "LOCATION",
"city": "Peterson Space Force Base",
"state": "CO",
"postal_code": "809141541",
"country_code": "US",
"telephone_number": "719-524-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "BLDG 683 Waianae Ave",
"address_purpose": "LOCATION",
"city": "Schofield Barracks",
"state": "HI",
"postal_code": "96786",
"country_code": "US",
"telephone_number": "808-433-8500",
"fax_number": "808-433-8505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "LACEY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "4586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.