Active NPI
Morgan Tyler Lacy, LCSW
- Clinical Social Worker
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 67642
- Practice address
- 4635 Southwest Fwy Ste 635
Houston, TX 77027-7112 - Phone
- (713) 850-0049
- NPI assigned
- Jan 21, 2022
- Sex
- Male
- 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 | 67642 | TX | Primary |
Addresses
Primary practice location
4635 Southwest Fwy Ste 635
Houston, TX 77027-7112
Mailing address
405 S Seaman St
Eastland, TX 76448-2749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67642 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Social Worker | Current | Accepting new patients |
Locations
1105 E Fitzgerald St
Bangs, TX 76823
Phone (325) 752-6321
1514 Indian Creek Dr
Brownwood, TX 76801
Phone (325) 646-6529
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
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": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1912659830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S SEAMAN ST",
"city": "EASTLAND",
"state": "TX",
"postal_code": "764482749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4635 SOUTHWEST FWY STE 635",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277112",
"telephone_number": "713-850-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "MORGAN",
"middle_name": "TYLER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-21",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "67642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.