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

Individual provider Clinical Social Worker · NPI 1720461064

Lacey Hammond is a Clinical Social Worker in Forest Lake, Minnesota. Qualified in 2012, 14 years ago. Practices with River Valley Behavioral Health and Wellness Center, PLLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2015
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Practice location Address checks out

121 11th Ave SE
Forest Lake, MN 55025-1850
Phone: (651) 777-5222
Fax: (651) 251-5279
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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 22081 (MN)

Record details

NPI number1720461064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESJuly 6, 2015
Mailing address121 11th Ave Se, Forest Lake, MN 55025-1850

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)
Group practice River Valley Behavioral Health And Wellness Center, Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Forest Lake