Lacey Michelle Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C8769 Issued in MS

Practice address

1007 W Congress St
Brookhaven, MS 39601-2603

Phone

(601) 327-1225

NPI assigned

Dec 11, 2021

Last updated

Dec 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1508525197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603",
            "telephone_number": "601-327-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LACEY",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc. (United Medical)
• Lincoln Emergency Group LLC
• Lincoln LTC, LLC (Silver Cross Nursing and Rehabilitation Center)
• Little Bits Caregivers, LLC
• Shannon Marie Little, MASTERS DEGREE
• Loving Hands Directed Medical Care, PLLC
• Lumley Health Services LLC
• Mary Lindsey Lumley
• Noel Anthony Lunsford, NP
• Shonda Lyons

• Clinical Social Worker in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.