Individual provider Active NPI

Katy Ann Lackey, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1740757152
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.