Kim-My Ly Lac, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW7767 Issued in FL

Practice address

11875 High Tech Ave
Suite 200
Orlando, FL 32817-1400

Phone

(407) 273-2485

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1174864870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 CRUSHED PEPPER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172319",
            "telephone_number": "352-359-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 HIGH TECH AVE",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171400",
            "telephone_number": "407-273-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAC",
        "first_name": "KIM-MY",
        "middle_name": "LY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW7767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Laboy, LCSW
• Marangeli Laboy, BA
• Anet Labradas Guerra, RBT
• Natalie Anne Labrador, PHARM.D.
• Lac Associates LLC
• Marie Desiree Villaruz Lacandola, APRN
• Christopher Lee Lacey, PHARM.D. B.S. B.M.E.
• John Martin Lach
• Julio Cesar Lachaga Jr.
• Gregory Lachaud

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.