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KIM-MY LY LAC MSW
NPI 1174864870
Social Worker - Clinical in Orlando, FL

Active since March 06, 2013PECOS Enrolled
11875 HIGH TECH AVE, SUITE 200, ORLANDO, FL 32817(407) 273-2485 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim-my Ly Lac Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM-MY LY LAC MSW (NPI 1174864870) is an individual clinical provider in Orlando, Florida, licensed in Florida (ISW7767) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174864870
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM-MY LY LACCredential: MSW
Location Address11875 HIGH TECH AVE, SUITE 200Orlando, FL 32817-1400
Mailing Address8103 Crushed Pepper AveOrlando, FL 32817-2319 · (352) 359-6137
Phone(407) 273-2485
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 6, 2013
Last NPPES UpdateMarch 19, 2014
✔ NPI 1174864870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · ISW7767
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11875 HIGH TECH AVE, Orlando, FL 32817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim-my Ly Lac Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971087461
PECOS Enrollment IDI20260323003500
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ASHBY
Counselor
11875 HIGH TECH AVE, SUITE #200
ORLANDO, FL 32817
Orange County (407) 860-8477
MRS. ASHLEY MARGENOT HINGSTON M.A., RMHCI
Counselor (Professional)
11875 HIGH TECH AVE
ORLANDO, FL 32817
Orange County (407) 273-8444
CHARLEE FAMILY CARE SERVICES OF CENTRAL FLORIDA, INC.
Counselor (Mental Health)
11875 HIGH TECH AVE, S-200
ORLANDO, FL 32817
Orange County (407) 273-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim-my Lac's NPI number?

The NPI number for Kim-my Lac is 1174864870. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Kim-my Lac located?

Kim-my Lac practices at 11875 High Tech Ave Suite 200, Orlando, FL 32817. The listed phone number is (407) 273-2485.

What is Kim-my Lac's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim-my Lac enrolled in Medicare?

Yes. Kim-my Lac is registered in the Medicare PECOS enrollment system.

What insurance does Kim-my Lac accept?

Health plans from UnitedHealthcare list Kim-my Lac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim-my Lac was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.