Lacy Shields, LMSW
Individual provider Active NPI Clinical Social Worker · Gainesville, MO
NPI 1245074723 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1245074723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2024017857
- Practice address
- 87 Elm St
Gainesville, MO 65655-7131 - Phone
- (417) 679-2775
- NPI assigned
- Jun 20, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas County Public Health Services Group, Inc.
Practice addresses (Care Compare)
504 W Broadway Ave
Missouri Ozarks Community Health
Ava, MO 65608-1359
Phone (417) 683-5739
PO Box
Suite 1359
Ava, MO 65608-1359
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2024017857 | Yes |
Addresses
Primary practice location
87 Elm St
Gainesville, MO 65655-7131
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-5739
Other providers in Gainesville, MO
- Ozark County Health Department
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Ozarks Medical Center
- Trisha Vigna
- Marti Lea Warden
- Amanda Williams
- Sarah Wright
All providers in Gainesville, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.