Lacey Pollard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010397 Issued in NC

Practice address

1400 W Church St
Elizabeth City, NC 27909-4510

Phone

(252) 331-0322

NPI assigned

Jul 1, 2014

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kids First, Inc. Child Advocacy Center

  • Community/Behavioral Health Agency
  • Elizabeth City, NC
  • NPI 1104040773
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1275948093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 NEW COLONY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644010",
            "telephone_number": "252-333-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094510",
            "telephone_number": "252-331-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "LACEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey C Phelps, MPT
• Brittnay Phthisic, FNP-BC
• Tyler Cade Pittman, DO
• Anne Mary Pokorny, RD, LD, MHA
• Jeffrey John Pokorny, M.D.
• Port Health Services
• Port Human Services
• Eve Portillo, RBT
• Nallely Portillo, RBT
• Praveen Potluru, MD

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.