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

Lacy D Owens

Individual provider Counselor · NPI 1720558430

Lacy D Owens is a Clinical Social Worker in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

102 N Denver Ave
Tulsa, OK 74103-1806
Phone: (918) 582-1200
Fax: (918) 560-1399
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 8784 (OK)

Record details

NPI number1720558430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing address5310 E 31st St, Tulsa, OK 74135-5018

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)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tulsa