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LACY GREEN
NPI 1174973150
Social Worker - Clinical in Little Rock, AR

Active since June 21, 2016
1719 MERRILL DR, LITTLE ROCK, AR 72212(501) 663-2199(501) 663-2234 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Jun 21, 2016 (2 updates tracked since 2016).

About Lacy Green NPPES

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

LACY GREEN (NPI 1174973150) is an individual clinical provider in Little Rock, Arkansas, licensed in Arkansas (8038-C) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1174973150
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLACY GREEN
Location Address1719 MERRILL DRLittle Rock, AR 72212-4009
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Phone(501) 663-2199
Fax(501) 663-2234
Sole ProprietorNo
Enumeration DateJune 21, 2016
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1174973150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 8038-C
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.
Also ListedSocial WorkerTaxonomy 104100000X
1719 MERRILL DR, Little Rock, AR 72212
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Other Providers at the Same Location NPPES 20

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

BRITTINEY WATSON QBHP
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
ASHRAEL TRAMBLE
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
KA'NESHEIA COBBINS
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
TINA OUTLEY
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
REGINA THICKSTEN
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
TIFFANY BRADLEY
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
KIARA LORING QBHP
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199
KATELYN BROOKE FEEMSTER
Case Manager/Care Coordinator
1719 MERRILL DR
LITTLE ROCK, AR 72212
Pulaski County (501) 663-2199

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 Lacy Green's NPI number?

The NPI number for Lacy Green is 1174973150. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Lacy Green located?

Lacy Green practices at 1719 Merrill Dr, Little Rock, AR 72212. The listed phone number is (501) 663-2199.

What is Lacy Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Lacy Green was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.