Individual provider · Type 1 NPI

Lacy Michelle Theobald, LCSW

Clinical Social Worker · Temple, TX

NPI number 1669965687 Active

Practice location

3010 Scott Blvd Ste 103
Temple, TX 76504-6803

Call (254) 773-4022 Map

Fax (254) 773-0919

Mailing address

1216 Thistle Park
Robinson, TX 76706-7291

Other practice locations

  • 6801 Sanger Ave Ste 101, Waco, TX 76710-7807 · (903) 872-4443

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X50725 (TX)

Clinical Social Worker: 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 interpers…

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About NPI 1669965687

Lacy Michelle Theobald, LCSW's National Provider Identifier is 1669965687, issued on Jun 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Temple, TX. The record was last updated on Dec 13, 2024.