Eugenia Gail Lacey-Gengelbach, ACSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001264A Issued in IN

Practice address

2530 Sandcrest Blvd
Columbus, IN 47201

Phone

(812) 372-3177

Fax

(812) 372-3692

NPI assigned

Apr 12, 2008

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

Enrolled in IN

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

University of Louisville School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerstone of Indiana IncGroup PAC ID 9436138427, 114 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.

• Centerstone of Indiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1992781470
  Medicare reassignment Care Compare group NPD
• Centerstone of Indiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1972320224
  NPD
• Association of Personal and Family Counselors

  • Mental Health Counselor
  • Columbus, IN
  • NPI 1316013881
  NPD (past)
• Columbus Regional Hospital

  • Community/Retail Pharmacy
  • Columbus, IN
  • NPI 1861286676
  NPD (past)

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1740453554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 S US HIGHWAY 31",
            "city": "CROTHERSVILLE",
            "state": "IN",
            "postal_code": "472299647",
            "telephone_number": "812-793-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "47201",
            "telephone_number": "812-372-3177",
            "fax_number": "812-372-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY-GENGELBACH",
        "first_name": "EUGENIA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "ACSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001264A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I
• Kevin Scott Krueger, MA CCC-SLP
• Suganthi Senthil Kumaran, M.D.
• Sandra Anne Kuniewicz, MS, RD, CDE
• Kayla Kuntz, RBT
• Larry Laforce, RBT
• Mary Elizabeth Lagasca, DC
• Richard Lamborn, HSPP
• Leanne Lamm
• Jennifer D Lampert, PHARMD

• Clinical Social Worker in Columbus, IN
• Providers in Columbus, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.