LACEY RAYE BROWN
NPI 1295694529
Social Worker - Clinical in Shakopee, MN

Active since January 21, 2026PECOS Enrolled
200 4TH AVE W, SHAKOPEE, MN 55379(952) 496-8907(952) 496-8355 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lacey Raye Brown NPPES

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

LACEY RAYE BROWN (NPI 1295694529) is an individual clinical provider in Shakopee, Minnesota, licensed in Minnesota (31191) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295694529
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLACEY RAYE BROWN
Location Address200 4TH AVE WShakopee, MN 55379-1220
Mailing Address200 4th Ave WShakopee, MN 55379-1220 · (952) 496-8907 · Fax (952) 496-8355
Fax(952) 496-8355
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1295694529 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 MN · 31191
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.

200 4TH AVE W, Shakopee, MN 55379

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lacey Raye Brown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537641717
PECOS Enrollment IDI20260305004006
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 55379 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 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Counselor (Mental Health)
200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379
Marriage & Family Therapist
200 4TH AVE W
SHAKOPEE, MN 55379
Social Worker
200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379
Social Worker (Clinical)
200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379
Psychologist
200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379
Nurse Practitioner (Psychiatric/Mental Health)
200 4TH AVE W
SHAKOPEE, MN 55379
Registered Nurse (Psychiatric/Mental Health)
200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379
Counselor (Professional)
200 4TH AVE W
SHAKOPEE, MN 55379

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 Brown's NPI number?

The NPI number for Lacey Brown is 1295694529. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Lacey Brown located?

Lacey Brown practices at 200 4th Ave W, Shakopee, MN 55379. The listed phone number is (952) 496-8907.

What is Lacey Brown's specialty?

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

Is Lacey Brown enrolled in Medicare?

Yes. Lacey Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacey Brown was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.