Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LACEY FAIR-MCCULLOUGH
NPI 1356273106
Case Manager/Care Coordinator in Chardon, OH

Q: What is Lacey Fair-mccullough's NPI number?

The NPI number for Lacey Fair-mccullough is 1356273106. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Q: What is Lacey Fair-mccullough's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since June 03, 2026

12041 RAVENNA RD, CHARDON, OH 44024(440) 286-7154 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lacey Fair-mccullough NPPES

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

LACEY FAIR-MCCULLOUGH (NPI 1356273106) is an individual case manager/care coordinator provider in Chardon, Ohio and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1356273106

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLACEY FAIR-MCCULLOUGH

Location Address12041 RAVENNA RDChardon, OH 44024-7008

Mailing Address12041 Ravenna RdChardon, OH 44024-7008

Phone(440) 286-7154

Sole ProprietorYes

Enumeration DateJune 3, 2026

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1356273106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

12041 RAVENNA RD, Chardon, OH 44024

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ANGELICA BURTON

Case Manager/Care Coordinator