Active NPI
Bethany Lacey, MSW
- Social Worker
- Tallahassee, FL
National Provider Identifier
1952848830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3555 Commonwealth Blvd
Tallahassee, FL 32303-3119 - Phone
- (850) 575-6422
- Fax
- (850) 575-7225
- NPI assigned
- Jan 30, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3555 Commonwealth Blvd
Tallahassee, FL 32303-3119
Mailing address
3555 Commonwealth Blvd
Tallahassee, FL 32303-3119
Phone (850) 575-6422
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boys Town North Florida, Inc | Past | Accepting new patients |
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Tallahassee, FL
- NPI 1285711960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1952848830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 COMMONWEALTH BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323033119",
"telephone_number": "850-575-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 COMMONWEALTH BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323033119",
"telephone_number": "850-575-6422",
"fax_number": "850-575-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEY",
"first_name": "BETHANY",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.