Individual provider Active NPI

Lacey Hibner, LSW

  • Clinical Social Worker
  • Celina, OH
National Provider Identifier
1710273735
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.06000382 Issued in OH
Practice address
401 E Market St
Celina, OH 45822-1736
Phone
(419) 584-5123
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.06000382 OH
Clinical Social Worker 1041C0700X S.06000382 OH Primary

Addresses

Primary practice location

401 E Market St
Celina, OH 45822-1736

Mailing address

4761 State Route 29
Celina, OH 45822-8216
Phone (419) 584-1000

Other practice location 1

4761 State Route 29
Celina, OH 45822-8216
Phone (419) 584-1000 ext. 121

Other names 1

  • Lacey Seitz Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.06000382OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consultation, LLC Clinical PastSince Apr 16, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1710273735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 STATE ROUTE 29",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458228216",
            "telephone_number": "419-584-1000",
            "fax_number": "419-584-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MARKET ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221736",
            "telephone_number": "419-584-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4761 State Route 29",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "OH",
            "postal_code": "458228216",
            "country_code": "US",
            "telephone_number": "419-584-1000 x121",
            "fax_number": "419-584-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBNER",
        "first_name": "LACEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.06000382",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.06000382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "SEITZ",
            "credential": "LSW, LCDC III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.