Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacy D Owens

Individual provider Counselor · NPI 1720558430

Lacy D Owens is a Clinical Social Worker in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2018
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Practice location Address checks out

102 N Denver Ave
Tulsa, OK 74103-1806
Phone: (918) 582-1200
Fax: (918) 560-1399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 8784 (OK)

Record details

NPI number1720558430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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