MRS. MOLLIE D LACKEY (NPI# 1316117831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316117831 |
| Entity Type | Individual |
| Full Name | MRS. MOLLIE D LACKEY |
| Other Name | MRS. MOLLIE D DELAWDER |
| Credential | LISW-S |
| Practice Address |
115 Private Road 977 Pedro OH 45659-8608 |
| Practice Telephone | (740) 534-1386 |
| Practice Fax Number | 7405341497 |
| Mailing Telephone | (740) 534-1386 |
| Mailing Fax Number | 7405341497 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
S-0028697 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1100136-SUPV | OH | Behavioral Health & Social Service Providers |
| Street Address |
115 PRIVATE ROAD 977 |
| City | PEDRO |
| State | OH |
| Zip Code | 45659-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227201 | Stacy M Scherer | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-08-27 |
| 1144831389 | Christina Lee Nelson | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-08-12 |
| 1285244251 | Kelly Renee Higgins | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-08-05 |
| 1144856527 | Emillie Crank | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-03-18 |
| 1184257156 | Rebecca Lucas | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-19 |
| 1437782455 | Crystal Pauley | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-18 |
| 1326670175 | Courtney Marie Truitt | Licensed Practical Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-10 |
| 1740828961 | Heather Black | Licensed Practical Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-12-18 |
| 1689211708 | Melissa J Cox | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-12-09 |
| 1447891866 | Toni Lynn Floyd | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740756097 | Matthew Salyers | Case Manager/Care Coordinator | 115 County Road 977, Pedro, OH 45659 | 2018-10-15 |
| 1023557923 | Michelle Taylor | Counselor | 115private Rd, Pedro, OH 45659 | 2017-02-13 |
| 1710426630 | Lisa Thompson | Case Manager/Care Coordinator | 115 Private Drive 977, Pedro, OH 45659 | 2017-02-13 |
| 1760925531 | Tracy Tufts | Case Manager/Care Coordinator | 115 Priv Rd 977, Pedro, OH 45659 | 2016-11-29 |
| 1376786699 | Rhonda Gail Pierce | Home Health Aide | 5153 County Road 16, Pedro, OH 45659 | 2009-04-16 |
| 1194993964 | T. Steven Cantley | Social Worker | 115 Private Rd. 977, Pedro, OH 45659 | 2008-02-14 |
| 1831301068 | Tammy Sue Bostic | Home Health Aide | 6975 County Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1124240395 | Angela Jo April Brown Gipson | Home Health Aide | 6975 Country Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1033230289 | Ena Inc. | Community/Behavioral Health | 115 Private Dr. 997, Pedro, OH 45659 | 2007-04-03 |
| 1679698898 | Mary Ann Howard | Home Health Aide | 8628 County Road 4, Pedro, OH 45659 | 2007-03-20 |
| Find all providers in zip 45659 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509884 | Joy Puckett | Social Worker | 115 Private Road 977, Pedro, OH 45659-8608 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1093315756 | Lisa Newburger | Social Worker | 5096 Stansbury Dr Apt Suite, Solon, OH 44139-1269 | 2020-10-30 |
| 1275133068 | Sonya Latrice Fuller | Social Worker | 38616 Fairway Glenn Blvd, Willoughby, OH 44094-7188 | 2020-10-29 |
| 1285234450 | Jamie Lynne Turner | Social Worker | 214 Cornell Ave, Elyria, OH 44035-6038 | 2020-10-28 |
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1841898871 | Monique T Robinson | Social Worker | 2900 Green Rd, Shaker Heights, OH 44122-3052 | 2020-10-12 |
| 1013514363 | Joan Arnson | Social Worker | 23604 Ranch Rd, Beachwood, OH 44122-1530 | 2020-10-08 |
| 1609473404 | Solena Marie Gibson | Social Worker | 27070 Cedar Rd, Beachwood, OH 44122-8131 | 2020-10-05 |
| 1326645326 | Seeking Calm Institute, LLC | Social Worker | 3273 Reed Point Dr, Hilliard, OH 43026-1556 | 2020-10-03 |
| 1003413063 | Catherine Alexander | Social Worker | 276 Mainsail Dr, Westerville, OH 43081-2741 | 2020-10-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.