Individual provider Active NPI

Lacey Clark, LCSW

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1194446039
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128556 Issued in CA
Practice address
45244 32ND St W
Lancaster, CA 93536-8445
Phone
(661) 270-8460
NPI assigned
Sep 8, 2022
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108193 TX
Clinical Social Worker 1041C0700X 128556 CA Primary

Addresses

Primary practice location

45244 32ND St W
Lancaster, CA 93536-8445

Mailing address

2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353
Phone (323) 334-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lclark@thepeopleconcern.org Direct The People Concern

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522000247 CA Practitioner - Clinical Social Worker 5193244242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108193TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince May 19, 2025 Accepting new patients
The People Concern Current Accepting new patients
The People Concern CurrentSince Mar 13, 2025 Accepting new patients
The People Concern CurrentSince Sep 11, 2022 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

2116 Arlington Ave
Ste 100
Los Angeles, CA 90018

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

1751 Cloverfield Blvd
Santa Monica, CA 90404
Phone (310) 450-0650

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1194446039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181353",
            "telephone_number": "323-334-9000",
            "fax_number": "323-334-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45244 32ND ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368445",
            "telephone_number": "661-270-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LACEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108193",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lclark@thepeopleconcern.org",
            "affiliation": "Y",
            "endpointDescription": "company email",
            "affiliationName": "The People Concern",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "45244 32nd St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935368445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.