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

Lacey Raye Brown

Individual provider Clinical Social Worker · NPI 1295694529

Lacey Raye Brown is a Clinical Social Worker in Shakopee, Minnesota. Qualified in 2022, 4 years ago. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2026

Practice location Address checks out

200 4th Ave W
Shakopee, MN 55379-1220
Phone: (952) 496-8907
Fax: (952) 496-8355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 31191 (MN)

Record details

NPI number1295694529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address200 4th Ave W, Shakopee, MN 55379-1220

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Shakopee