Regina Lacking, LCSW

Individual provider Active NPI Clinical Social Worker · Tupelo, MS

NPI 1851243950 · NPPES record last updated Sep 7, 2026

Key facts

NPI
1851243950
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C11605 (MS)
Practice address
166 Road 1562
Tupelo, MS 38804-8549
Phone
(601) 337-0294
NPI assigned
Feb 11, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C11605MSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C11605 MS Yes

Addresses

Primary practice location

166 Road 1562
Tupelo, MS 38804-8549

Mailing address

PO Box 404
Tupelo, MS 38802-0404
Phone (601) 337-0294

Other providers in Tupelo, MS

All providers in Tupelo, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.