Active NPI
Elizabeth Lacy, LCSW
- Clinical Social Worker
- Newburgh, NY
National Provider Identifier
1770726887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P061686-1
- Practice address
- 633 Gidney Ave
Suite 2
Newburgh, NY 12550-2800 - Phone
- (845) 569-2900
- Fax
- (845) 569-2901
- NPI assigned
- Apr 20, 2009
- Last updated
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | P061686-1 | NY | Primary |
Addresses
Primary practice location
633 Gidney Ave
Suite 2
Newburgh, NY 12550-2800
Mailing address
633 Gidney Ave
Suite 2
Newburgh, NY 12550-2800
Phone (845) 569-2900
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
| License | State | Type | Specialty |
|---|---|---|---|
| P061686-1 | NY | MD | Clinical Social Worker |
| 061686 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd Alvin Rochman MD PC | Clinical | Past | Accepting new patients |
| East Orange Psychiatric Associates, LLP | Clinical | Past | Accepting new patients |
| Elizabeth Lacy, LCSW, PLLC | Clinical | Past | Accepting new patients |
| Wendy Keller, LCSW, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1710495437
-
- Clinical Social Worker
- Newburgh, NY
- NPI 1508918590
-
dba Behavioral Health Services of the Hudson Valley
- Clinical Social Worker
- Newburgh, NY
- NPI 1982992889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1770726887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 GIDNEY AVE",
"address_2": "SUITE 2",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502800",
"telephone_number": "845-569-2900",
"fax_number": "845-569-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 GIDNEY AVE",
"address_2": "SUITE 2",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502800",
"telephone_number": "845-569-2900",
"fax_number": "845-569-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P061686-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.