Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim-My Ly Lac, MSW

Individual provider Clinical Social Worker · NPI 1174864870

Kim-My Ly Lac, MSW is a Clinical Social Worker in Orlando, Florida. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2013
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

11875 High Tech Ave Ste 200
Orlando, FL 32817-1400
Phone: (407) 273-2485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW7767 (FL)

Record details

NPI number1174864870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 19, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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