Active NPI
Constance Loraine Lacy, PHD LCSW
- Clinical Social Worker
- Rowlett, TX
National Provider Identifier
1174644124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S35185
- Practice address
- 10006 River Bend Dr Ste 104
Rowlett, TX 75089-8521 - Phone
- (469) 733-5047
- Fax
- (972) 412-5219
- NPI assigned
- Apr 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S35185 | TX | Primary |
Addresses
Primary practice location
10006 River Bend Dr Ste 104
Rowlett, TX 75089-8521
Mailing address
10006 River Bend Dr Ste 104
Rowlett, TX 75089-8521
Phone (469) 733-5047
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593810 | Other | TX | BLUE CROSS BLUE SHIELD TEXAS |
| 7511715 | Other | TX | AETNA |
| 601292907 | Other | TX | MAGELLAN HEALTHCARE |
| 2559683 | Other | TX | CIGNA BEHAVIORAL |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S35185 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682726400000",
"number": "1174644124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10006 RIVER BEND DR STE 104",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750898521",
"telephone_number": "469-733-5047",
"fax_number": "972-412-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10006 RIVER BEND DR STE 104",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750898521",
"telephone_number": "469-733-5047",
"fax_number": "972-412-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "CONSTANCE",
"middle_name": "LORAINE",
"name_prefix": "Dr.",
"credential": "PHD LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2023-04-29",
"certification_date": "2023-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "S35185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TEXAS",
"identifier": "593810",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7511715",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTHCARE",
"identifier": "601292907",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL",
"identifier": "2559683",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.