Lacie Danielle Beasley, LPT

Individual provider Active NPI Licensed Psychiatric Technician · Sanger, CA

NPI 1467243998 · NPPES record last updated May 14, 2025

Key facts

NPI
1467243998
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Psychiatric Technician 167G00000X
License
37161 (CA)
Practice address
2511 Jensen Ave
Sanger, CA 93657-2251
Phone
(559) 875-3023
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37161CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation Past
since May 18, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X 37161 CA Yes

Addresses

Primary practice location

2511 Jensen Ave
Sanger, CA 93657-2251

Mailing address

2511 Jensen Ave
Sanger, CA 93657-2251
Phone (559) 875-3023

Other providers in Sanger, CA

All providers in Sanger, CA · Licensed Psychiatric Technician in California

Sources for this page

Verify at the official NPI Registry.