Organization Active NPI

Lacock Counseling LLC

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1225502081
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LACOCK COUNSELING LLC
Practice address
4403 1St Ave SE Ste 502
Cedar Rapids, IA 52402-3221
Phone
(319) 521-2813
Fax
(319) 366-1116
NPI assigned
Jan 15, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Debra Lacock
Title
Owner/Lisw
Phone
(319) 521-2813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4403 1St Ave SE Ste 502
Cedar Rapids, IA 52402-3221

Mailing address

4403 1St Ave SE Ste 502
Cedar Rapids, IA 52402-3221

National Provider Directory

National Provider Directory

Locations

4403 1st Ave SE
Ste 502
Cedar Rapids, IA 52402
Phone (319) 521-2813

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1225502081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 502",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 502",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023221",
            "telephone_number": "319-521-2813",
            "fax_number": "319-366-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACOCK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "LACOCK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER/LISW",
        "authorized_official_telephone_number": "319-521-2813"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.