Richard Lackey, LISW-CP, LAC, CACII is a
Social Worker - Clinical based in Charleston, South Carolina. Richard Lackey is licensed to practice in South Carolina (license number 11391) and his current practice location is
763 Meeting St, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(412) 508-8275.
NPI number for Richard Lackey is 1699154898 and his current mailing address is 45 Sycamore Ave Apt 737, Charleston, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699154898.
Healthcare Provider's Profile
| Full Name | Richard Lackey |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 763 Meeting St, Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699154898
- Provider Enumeration Date: 05/21/2015
- Last Update Date: 11/02/2019
Medical Identifiers
Medical identifiers for Richard Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699154898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11391 (South Carolina) | 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. Richard Lackey 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 |
|---|
Richard Lackey, LISW-CP, LAC, CACII
45 Sycamore Ave Apt 737,
Charleston, SC 29407-6726
Ph: (412) 508-8275 | Richard Lackey, LISW-CP, LAC, CACII
763 Meeting St,
Charleston, SC 29403-3146
Ph: (412) 508-8275 |
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