Active NPI
James Henry Lacey Jr
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1780193847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 331 Main St
Norwich, CT 06360-5836 - Phone
- (860) 889-8346
- Fax
- (860) 889-2658
- NPI assigned
- Sep 21, 2017
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
331 Main St
Norwich, CT 06360-5836
Mailing address
410 Emmett St Unit 26
Bristol, CT 06010-8602
Phone (860) 940-3462
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1780193847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 EMMETT ST UNIT 26",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060108602",
"telephone_number": "860-940-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAIN ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605836",
"telephone_number": "860-889-8346",
"fax_number": "860-889-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEY JR",
"first_name": "JAMES",
"middle_name": "HENRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.