Lacy Iakovakis
Individual provider Active NPI Social Worker · Cushing, OK
NPI 1336766864 · NPPES record last updated Jul 30, 2020
Key facts
- NPI
- 1336766864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 321 E Main St
Cushing, OK 74023-2643 - Phone
- (918) 285-6268
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Counseling and Wellbeing Group LLC | Current |
Accepting new patients |
Locations
321 E Main St
Cushing, OK 74023
Phone (918) 285-6268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
321 E Main St
Cushing, OK 74023-2643
Mailing address
321 E Main St
Cushing, OK 74023-2643
Phone (512) 924-9904
Other providers in Cushing, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.