Michelle Camille Lasater, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256962 Issued in KY

Practice address

2010 W 12TH St
Panama City, FL 32401-1850

Phone

(850) 747-4565

Fax

(850) 747-5317

NPI assigned

May 20, 2019

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

Other names 1

• Mrs. Michelle Camille Pierce Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1982260519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SHELTON LN",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767600",
            "telephone_number": "270-901-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 12TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011850",
            "telephone_number": "850-747-4565",
            "fax_number": "850-747-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Magnolia Cir Bldg 1309",
            "address_purpose": "LOCATION",
            "city": "Tyndall AFB",
            "state": "FL",
            "postal_code": "324035612",
            "country_code": "US",
            "telephone_number": "850-283-7413",
            "fax_number": "850-283-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASATER",
        "first_name": "MICHELLE",
        "middle_name": "CAMILLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256962",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bay.k12.fl.us",
            "affiliation": "N",
            "endpointDescription": "School",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2010 W 12th St",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324011850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PIERCE",
            "middle_name": "CAMILLE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Sjahn Large, MS CCC-SLP
• Ashlie Larimore
• Sarah Nicole Larkin, APRN
• Larry T. Wong, D.O., P.a.
• William David Larson, IDC
• Tymesha Lasley
• Elena Laufer, M.ED., C.R.C., C.V.E
• Jennifer Marie Laufman
• Laurelpharm LLC
• Laurie Dawson Adult Family Care

• Clinical Social Worker in Panama City, FL
• Providers in Panama City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.