Individual provider Active NPI

Lacey L Staszcuk

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1841732823
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-19039 Issued in MT
Practice address
1320 Division St
Billings, MT 59101-6001
Phone
(406) 210-1945
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 BBH-LCSW-LIC-19039 MT Primary

Addresses

Primary practice location

1320 Division St
Billings, MT 59101-6001

Mailing address

1103 Pepper LN
Billings, MT 59102-4048
Phone (406) 210-1945

Other practice location 1

1235 Wicks Ln W
Billings, MT 59105-3584
Phone (406) 409-4541

Other identifiers 1

IdentifierTypeStateIssuer
77039MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20170322002821 MT Practitioner - Clinical Social Worker 5496030025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Counseling Center LLCGroup PAC ID 3971996489, 5 clinicians

Practice addresses (Care Compare)

1320 Division St
Billings, MT 59101-6001
Phone (406) 409-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-19039MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Counseling Center LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1235 Wicks Ln W
Billings, MT 59105
Phone (406) 259-5648

1320 Division St
Billings, MT 59101
Phone (406) 409-4541

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1841732823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 PEPPER LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024048",
            "telephone_number": "406-210-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 DIVISION ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591016001",
            "telephone_number": "406-210-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Wicks Ln W",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591053584",
            "country_code": "US",
            "telephone_number": "406-409-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASZCUK",
        "first_name": "LACEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-19039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77039",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.