LACY OSBORNE (LICSW) – Clinical Social Worker, NPI 1003211400

LACY OSBORNE (LICSW) is a healthcare provider. based in Mankato, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 20219 (MN). The NPI Number for LACY OSBORNE (LICSW) is 1003211400

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LACY OSBORNE (LICSW)
NPI
1003211400
Phone
(507) 344-3124
Address
100 WARREN ST # 324
Enumeration Date
28 October 2014
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5077055415
Graduation Year
2011 (15 years ago)
PAC ID
5597087130
Group Practice PAC ID
0840665774
Professional Enrollment ID
I20141209002279
Address ID
MN560018810MA151XXCTXX401
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for LACY OSBORNE (LICSW)

  • 100 WARREN ST # 324

    MANKATO, MN 560013762

    Phone: (507) 344-3124

    Fax: (507) 519-2271

    Type: Mailing

  • 1900 SILVER LAKE RD NW

    SUITE 110

    NEW BRIGHTON, MN 551121786

    Phone: (651) 379-1718

    Fax: (651) 379-1738

    Type: Mailing

  • 401 16TH ST SE

    ROCHESTER, MN 559047973

    Phone: (507) 516-0030

    Fax: (507) 516-0031

    Type: Location

  • 151 SAINT ANDREWS CT STE 200

    MANKATO, MN 560018810

    Phone: (507) 705-5415

    Fax: (507) 607-8845

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141209002279IClinical Social WorkerMN2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour10711$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840665774View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Nurse PractitionerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the registry number for LACY OSBORNE (LICSW)?
The registry entry for LACY OSBORNE (LICSW) shows NPI 1003211400.
Should I treat LACY OSBORNE (LICSW) as an active provider?
Patients and plans typically see LACY OSBORNE (LICSW) as active in the national extract.
What services align with LACY OSBORNE (LICSW)'s listing?
LACY OSBORNE (LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is LACY OSBORNE (LICSW) tied to Mankato, Minnesota?
If you are local to Mankato, Minnesota, LACY OSBORNE (LICSW) may be relevant to your search.
Can I export LACY OSBORNE (LICSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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