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LACEY CLARK LCSW
NPI 1194446039
Social Worker - Clinical in Lancaster, CA

Active since September 08, 2022PECOS EnrolledAccepts Medicare Assignment
45244 32ND ST W, LANCASTER, CA 93536(661) 270-8460 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Jun 20, 2023, Sep 21, 2022 and 1 more (4 updates tracked since 2022).

About Lacey Clark Lcsw NPPES

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

LACEY CLARK LCSW (NPI 1194446039) is an individual clinical provider in Lancaster, California, licensed in California (128556) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194446039
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLACEY CLARKCredential: LCSW
Location Address45244 32ND ST WLancaster, CA 93536-8445
Mailing Address2116 Arlington Ave Ste 100Los Angeles, CA 90018-1353 · (323) 334-9000 · Fax (323) 334-4437
Phone(661) 270-8460
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 8, 2022
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1194446039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 128556✔ Licensed in TX · 108193
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.
45244 32ND ST W, Lancaster, CA 93536
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacey Clark Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193244242
PECOS Enrollment IDI20250522000247
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 93536 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 5

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

ALECSANDER ROSA GALO BA
Case Manager/Care Coordinator
45244 32ND ST W
LANCASTER, CA 93536
Los Angeles County (213) 703-4379
ERICA DOYLE
Social Worker (Clinical)
45244 32ND ST W
LANCASTER, CA 93536
Los Angeles County (323) 334-9000
THE PEOPLE CONCERN
Community/Behavioral Health
45244 32ND ST W
LANCASTER, CA 93536
Los Angeles County (323) 334-9000
SHAMLYN PINCHBACK MSW
Social Worker (Clinical)
45244 32ND ST W
LANCASTER, CA 93536
Los Angeles County (323) 303-2902
RUBY MARIE MORALES-ENRIQUEZ
Case Manager/Care Coordinator
45244 32ND ST W
LANCASTER, CA 93536
Los Angeles County (323) 334-9000

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 Lacey Clark's NPI number?

The NPI number for Lacey Clark is 1194446039. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Lacey Clark located?

Lacey Clark practices at 45244 32nd St W, Lancaster, CA 93536. The listed phone number is (661) 270-8460.

What is Lacey Clark's specialty?

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

Is Lacey Clark enrolled in Medicare?

Yes. Lacey Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lacey Clark was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.