LARA JO LACKEY M.S.W.
NPI 1780875427
Social Worker - Clinical in Clackamas, OR

Active since August 07, 2007PECOS Enrolled
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 652-2880 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lara Jo Lackey M.s.w. NPPES

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

LARA JO LACKEY M.S.W. (NPI 1780875427) is an individual clinical provider in Clackamas, Oregon, licensed in Oregon (L3364) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780875427
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLARA JO LACKEYCredential: M.S.W.
Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address6403 N Villard AvePortland, OR 97217-4046 · (503) 705-5265
Sole ProprietorNo
Enumeration DateAugust 7, 2007
NPI 1780875427 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 OR · L3364
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.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

Accepted 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)

Lara Jo Lackey M.s.w. 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 97015 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Emergency Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Emergency Medicine (Emergency Medical Services)
10180 SE SUNNYSIDE RD, KAISER PERMANENTE
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Family Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

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 Lara Lackey's NPI number?

The NPI number for Lara Lackey is 1780875427. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Lara Lackey located?

Lara Lackey practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Lara Lackey's specialty?

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

Is Lara Lackey enrolled in Medicare?

Yes. Lara Lackey is registered in the Medicare PECOS enrollment system.

What insurance does Lara Lackey accept?

Health plans from Kaiser Permanente list Lara Lackey 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 Lara Lackey was last updated on August 7, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.