Active NPI
Lacey L. Sawyer, LCSW, CADCIII, LADC
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1316204803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8082
- Practice address
- 2330 NE Division St Ste 9B
Bend, OR 97703-3530 - Phone
- (541) 233-8012
- Fax
- (541) 323-5834
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC6852 | ME | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-R-12 | OR | |
| Clinical Social Worker | 1041C0700X | LC15259 | ME | |
| Clinical Social Worker | 1041C0700X | L8082 | OR | Primary |
Addresses
Primary practice location
2330 NE Division St Ste 9B
Bend, OR 97703-3530
Mailing address
2330 NE Division St Ste 9B
Bend, OR 97703-3530
Phone (415) 233-8012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6852 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| 19-R-12 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Community Services NW | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Bend, OR
- NPI 1093074882
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1316204803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 NE DIVISION ST STE 9B",
"city": "BEND",
"state": "OR",
"postal_code": "977033530",
"telephone_number": "415-233-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 NE DIVISION ST STE 9B",
"city": "BEND",
"state": "OR",
"postal_code": "977033530",
"telephone_number": "541-233-8012",
"fax_number": "541-323-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWYER",
"first_name": "LACEY",
"middle_name": "L.",
"credential": "LCSW, CADCIII, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC6852",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "19-R-12",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC15259",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.