Lacey M Dembicki, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59878 Issued in TX

Practice address

11300 N Central Expy Ste 400
Dallas, TX 75243-6712

Phone

(469) 607-0076

NPI assigned

May 16, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: lifestancehealth.laceydembicki@136732.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1972240406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 N CENTRAL EXPY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436712",
            "telephone_number": "469-607-0076",
            "fax_number": "469-262-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N CENTRAL EXPY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436712",
            "telephone_number": "469-607-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11300 N Central Expy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752436712",
            "country_code": "US",
            "telephone_number": "469-607-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMBICKI",
        "first_name": "LACEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "59878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Demarco
• Olivia Demarta, DO
• Rahwa Fisshatsion Demas
• Diana Denise Demasi
• James Michael Demasi, R.N., C.P.N.P.
• Charle Eden Dembo, DC
• Palvasha Deme
• Lakeisha Nicole Demerson, MD
• Kidest-Mimi Agonafer Demesse, PHARM.D
• Ioana Gabriela Demeter, DDS

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.