Shelagh Marie Lacey, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904003747 Issued in VA

Practice address

3701 5TH St S
#107
Arlington, VA 22204-1641

Phone

(703) 207-7792

Fax

(703) 289-2764

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437163870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 5TH ST S",
            "address_2": "#107",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041641",
            "telephone_number": "703-207-7792",
            "fax_number": "703-289-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 5TH ST S",
            "address_2": "#107",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041641",
            "telephone_number": "703-207-7792",
            "fax_number": "703-289-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "SHELAGH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904003747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.C;S.W.LICENSE",
            "identifier": "0904003747",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.