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Lacey Kristine Brooks, LISW

NPI 1174166342ActiveIndividual· Social Worker, Clinical· Fairfield, IA

Opted out of Medicare from October 2025 to October 2027. Social Worker, Clinical (LISW) in Fairfield, Iowa, licensed in IA, with an NPI issued in October 2019.

Overview

NPI1174166342
StatusActive
Entity typeIndividual
CredentialLISW
Sole proprietorNo
NPI issuedOct 21, 2019
Last updated in NPPESMay 15, 2024
Certified by providerMay 8, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X007699IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Oct 20, 2025 – Oct 20, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Other clinical social workers in Fairfield

All 17 clinical social workers in Fairfield · All clinical social workers in Iowa