Active NPI
Lacey L Staszcuk
- Clinical Social Worker
- Billings, MT
National Provider Identifier
1841732823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-19039
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77039 | Medicaid | MT |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-19039 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Counseling Center LLC | Current | 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.
-
- Counselor
- Billings, MT
- NPI 1427722339
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.