Lacey Kristine Brooks, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007699 Issued in IA

Practice address

406 E Madison Ave
Fairfield, IA 52556-3645

Phone

(641) 683-5773

Fax

(641) 226-5759

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

• River Hills Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Fairfield, IA
  • NPI 1851945000
  NPD
• River Hills Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Ottumwa, IA
  • NPI 1083380059
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 20, 2025 through Oct 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

• Lacey Dickey Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2024.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1174166342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525010458",
            "telephone_number": "641-684-6896",
            "fax_number": "641-226-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E MADISON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563645",
            "telephone_number": "641-683-5773",
            "fax_number": "641-226-5759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W Main St",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "IA",
            "postal_code": "52585",
            "country_code": "US",
            "telephone_number": "641-895-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LACEY",
        "middle_name": "KRISTINE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "DICKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Boeding-Kreuter, M.S. CCC-SLP
• Bryndee Leigh Boheman, DPT
• Judith A. Book-Davin, ARNP
• Sarah Elizabeth Brecount, ARNP
• James Stephen Brooks, MD
• Sarah Elizabeth Brooks, LIC AC
• Brown'S Shoe Fit Co
• Taylor Madison Buch, ARNP
• Jim A Buck, M.D.
• Brenda Jaia Burton

• All providers in Fairfield, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.