Lacy Allen, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17407 Issued in MD

Practice address

8005 Harford Rd
Parkville, MD 21234-5753

Phone

(443) 707-8319

Fax

(443) 558-3762

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Agape Mental Health ServicesGroup PAC ID 6800207630, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Agape Mental Health Services

  • Clinical Social Worker
  • Parkville, MD
  • NPI 1992332209
  Medicare reassignment Care Compare group NPD Authorized official
• Agape Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkville, MD
  • NPI 1174230882
  NPD Authorized official

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1487005278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 MANCHESTER WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203526",
            "telephone_number": "437-707-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345753",
            "telephone_number": "443-707-8319",
            "fax_number": "443-558-3762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Annapolis Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062060",
            "country_code": "US",
            "telephone_number": "443-707-8319",
            "fax_number": "443-558-3762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LACY",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All American Home Care and PRP Services Inc.
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• All Heart Homecare
• Alliance Specialty Partners LLC
• Darnell Alston
• Timothy Ames, LPTA
• An Egg Health Center Inc
• An Egg Health Center Inc

• Clinical Social Worker in Parkville, MD
• Providers in Parkville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.