Celeste Demaria Lacy, is a
Social Worker - Clinical based in Los Angeles, California. Celeste Demaria Lacy is licensed to practice in California (license number 111074) and her current practice location is
11303 W Washington Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 482-3200.
NPI number for Celeste Demaria Lacy is 1871987206 and her current mailing address is 2640 Industry Way, Lynwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871987206.
Healthcare Provider's Profile
Full Name | Celeste Demaria Lacy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11303 W Washington Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871987206
- Provider Enumeration Date: 03/24/2015
- Last Update Date: 06/27/2023
Medical Identifiers
Medical identifiers for Celeste Demaria Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871987206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW89831 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 111074 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Celeste Demaria Lacy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Celeste Demaria Lacy, 2640 Industry Way, Lynwood, CA 90262-4284 Ph: (323) 596-2480 | Celeste Demaria Lacy, 11303 W Washington Blvd, Los Angeles, CA 90066-6003 Ph: (310) 482-3200 |
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