Lacey Rustad, LSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

4689 Issued in ND

Practice address

110 West Broadway
Suite 202
Williston, ND 58801

Phone

(701) 774-6300

Fax

(701) 572-9794

NPI assigned

Apr 24, 2014

Last updated

Apr 16, 2025By the provider in NPPES

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

Other names 1

• Lacey Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Williams County Social Services

  • Case Manager/Care Coordinator
  • Williston, ND
  • NPI 1093213464
  NPD (past)
• Williams County Social Services

  • Case Management Agency
  • Williston, ND
  • NPI 1578980272
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1730509084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST BROADWAY",
            "address_2": "SUITE 202",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "58801",
            "telephone_number": "701-774-6300",
            "fax_number": "701-572-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST BROADWAY",
            "address_2": "SUITE 202",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "58801",
            "telephone_number": "701-774-6300",
            "fax_number": "701-572-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTAD",
        "first_name": "LACEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "4689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50763",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassie Joy Rothe, FNP-C
• Phillip J Ruffalo, M.D.
• Mattea Marie-Sue Runion
• Brett Cordell Running, D.A.O.M., E.A.M.P.
• Whitney Russell
• Jane Jabile Rutledge, PT
• Doug Sala, OTR
• Lizette Salas
• Steven Craig Salcido, M.D.
• Salem S Shahin MD PC

• Case Manager/Care Coordinator in Williston, ND
• Providers in Williston, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.