Active NPI
Lacy Weberg, ED.S.
- School Psychologist
- Milwaukee, WI
National Provider Identifier
1235046830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 4040 W Forest Home Ave
Milwaukee, WI 53215-3538 - Phone
- (414) 902-8658
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
4040 W Forest Home Ave
Milwaukee, WI 53215-3538
Mailing address
1825 N Prospect Ave Unit P7
Milwaukee, WI 53202-3298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1235046830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 N PROSPECT AVE UNIT P7",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153538",
"telephone_number": "414-902-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBERG",
"first_name": "LACY",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.