Individual provider Active NPI

Lacey Jo Raymond, LCSW

  • Clinical Social Worker
  • Butte, MT
National Provider Identifier
1235316647
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-1003 Issued in MT
Practice address
65 E Broadway St
Butte, MT 59701-9305
Phone
(406) 200-8115
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X RC00057875 WA
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-1003 MT Primary

Addresses

Primary practice location

65 E Broadway St
Butte, MT 59701-9305

Mailing address

PO Box 215
Butte, MT 59703-0215
Phone (406) 200-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20170320001181 MT Practitioner - Clinical Social Worker 4183909856 Reassigns benefits to 1 organization
Practice locations: Butte, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 E Broadway St
Suites 429/431
Butte, MT 59701-9305
Phone (406) 200-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC00057875WAMDSocial Worker
BBH-LCSW-LIC-1003MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sunflower Counseling, LLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

1724 Fairview Ave
Ste A
Missoula, MT 59801
Phone (406) 214-3810

2120 S Reserve St
Missoula, MT 59801
Phone (406) 543-1929

700 SW Higgins Ave
Ste 107
Missoula, MT 59803
Phone (406) 214-3810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1235316647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597030215",
            "telephone_number": "406-200-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E BROADWAY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019305",
            "telephone_number": "406-200-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "LACEY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "RC00057875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.