Active NPI
Katy Ann Lackey, LCSW
- Clinical Social Worker
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW85780
- Practice address
- 459 Fulton St Ste 107
San Francisco, CA 94102-4364 - Phone
- (415) 343-5271
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW85780 | Primary |
Addresses
Primary practice location
459 Fulton St Ste 107
San Francisco, CA 94102-4364
Mailing address
375 16TH Ave
San Francisco, CA 94118-2810
Phone (805) 286-8965
Other practice location 1
1400 Tennessee St Unit 3
San Francisco, CA 94107-3421
Phone (415) 797-1410
Other practice location 2
4614 California St
San Francisco, CA 94118-1225
Phone (415) 343-5271
Other practice location 3
459 Fulton St Ste 107
San Francisco, CA 94102-4364
Phone (415) 343-5271
Other practice location 4
1610 Union St
San Francisco, CA 94123-4507
Phone (831) 600-7103
Other practice location 5
919 Fremont Ave Ste 100
Los Altos, CA 94024-6047
Phone (650) 492-5936
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lotus Collaborative, Inc., a Psychology Clinic | Past | 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.
-
- Clinical Psychologist
- San Francisco, CA
- NPI 1720566128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1740757152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 16TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182810",
"telephone_number": "805-286-8965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 FULTON ST STE 107",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024364",
"telephone_number": "415-343-5271"
}
],
"practiceLocations": [
{
"address_1": "1400 Tennessee St Unit 3",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941073421",
"country_code": "US",
"telephone_number": "415-797-1410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4614 California St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941181225",
"country_code": "US",
"telephone_number": "415-343-5271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "459 Fulton St Ste 107",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941024364",
"country_code": "US",
"telephone_number": "415-343-5271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1610 Union St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941234507",
"country_code": "US",
"telephone_number": "831-600-7103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "919 Fremont Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Los Altos",
"state": "CA",
"postal_code": "940246047",
"country_code": "US",
"telephone_number": "650-492-5936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACKEY",
"first_name": "KATY",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "LCSW85780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.