1. Home
  2. Directory
  3. Wisconsin
  4. Oshkosh
  5. Social Worker
  6. NPI Profile

LACEY A BENIKE
NPI 1275077158
Social Worker - Clinical in Oshkosh, WI

Active since December 12, 2016PECOS EnrolledAccepts Medicare Assignment
220 WASHINGTON AVE, OSHKOSH, WI 54901(920) 236-4700(920) 929-3129 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacey A Benike NPPES

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

LACEY A BENIKE (NPI 1275077158) is an individual clinical provider in Oshkosh, Wisconsin, licensed in Wisconsin (8681) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275077158
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLACEY A BENIKE
Location Address220 WASHINGTON AVEOshkosh, WI 54901-5030
Mailing Address220 Washington AveOshkosh, WI 54901-5030 · (920) 236-4700 · Fax (920) 929-3129
Phone(920) 236-4700
Fax(920) 929-3129
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 12, 2016
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1275077158 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 WI · 8681
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 · License 129671-121 (WI)
220 WASHINGTON AVE, Oshkosh, WI 54901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacey A Benike 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 ID1456636414
PECOS Enrollment IDI20170315000137
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.

Medicare Billing Reassignment

Medicare enrollment records show Lacey Benike reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Winnebago
Same address
Mental Health (Including Community Mental Health Center)
220 WASHINGTON AVE
Oshkosh, WI 54901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 20 clinicians in this Medicare group
NPI 1508960675 (920) 236-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54901 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

SANDRA MAGNUSON
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4600
STACEY CARLSON CNA
Nurse's Aide
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
RACHEL A KELBERT A.P.S.W.
Case Manager/Care Coordinator
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
SAMANTHA N BECKER
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
SHARON SCHNECKENBERG B.S.
Case Manager/Care Coordinator
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
LAURA A CRAIG RN
Registered Nurse (Psychiatric/Mental Health)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
THERESA A BOUDREAU-VNUK B.X.
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
MARISSA B LEE
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700

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 Benike's NPI number?

The NPI number for Lacey Benike is 1275077158. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Lacey Benike located?

Lacey Benike practices at 220 Washington Ave, Oshkosh, WI 54901. The listed phone number is (920) 236-4700.

What is Lacey Benike's specialty?

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

Is Lacey Benike enrolled in Medicare?

Yes. Lacey Benike 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.

Which organization bills Medicare for Lacey Benike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Benike reassigns Medicare benefits to County Of Winnebago (Oshkosh, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacey Benike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Benike accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Security Health Plan and UnitedHealthcare list Lacey Benike 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 Lacey Benike was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.