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LACY MICHELLE THEOBALD LCSW
NPI 1669965687
Social Worker - Clinical in Temple, TX

Active since June 13, 2018PECOS Enrolled
3010 SCOTT BLVD STE 103, TEMPLE, TX 76504(254) 773-4022(254) 773-0919 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2024, Jun 13, 2018 (2 updates tracked since 2018).

About Lacy Michelle Theobald Lcsw NPPES

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

LACY MICHELLE THEOBALD LCSW (NPI 1669965687) is an individual clinical provider in Temple, Texas, licensed in Texas (50725) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waco.

NPPES Registry Identity

NPI1669965687
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLACY MICHELLE THEOBALDCredential: LCSW
Location Address3010 SCOTT BLVD STE 103Temple, TX 76504-6803
Mailing Address1216 Thistle ParkRobinson, TX 76706-7291 · (254) 855-8297 · Fax (254) 773-0919
Phone(254) 773-4022
Fax(254) 773-0919
Sole ProprietorYes
Enumeration DateJune 13, 2018
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1669965687 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 TX · 50725
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.
3010 SCOTT BLVD STE 103, Temple, TX 76504
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Secondary Practice Location 1

Location 16801 Sanger Ave Ste 101Waco, TX 76710-7807 · Phone (903) 872-4443

Other Identifiers 1

Other50725TX · State (tx) License # For Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacy Michelle Theobald Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 76504 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 $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 18

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

MRS. KIMBERLY IRENE VANCE LCSW
Social Worker (Clinical)
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (844) 824-8775
SUSAN HUTCHINSON LCSW
Social Worker (Clinical)
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (254) 773-4022
DR. LEX REED LMFT
Marriage & Family Therapist
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (844) 824-8775
AAMIR RASHAD TERRY
Social Worker (Clinical)
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (844) 824-8775
MRS. REBEKAH MINA OAKLEY PHD, LP
Psychologist
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (844) 824-8775
CHUPIK COUNSELING & CONSULTING PA
Specialist
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (254) 773-4022
MR. PAUL RICHARD HARVEY LPC
Counselor (Professional)
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (844) 824-8775
HANNAH A ESPINOSA LPC
Counselor (Professional)
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504
Bell County (844) 824-8775

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 Theobald's NPI number?

The NPI number for Lacy Theobald is 1669965687. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Lacy Theobald located?

Lacy Theobald practices at 3010 Scott Blvd Ste 103, Temple, TX 76504. The listed phone number is (254) 773-4022.

What is Lacy Theobald's specialty?

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

Is Lacy Theobald enrolled in Medicare?

Yes. Lacy Theobald is registered in the Medicare PECOS enrollment system.

What insurance does Lacy Theobald accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Lacy Theobald 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 Lacy Theobald was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.