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

Lacy Dawn Green

Individual provider Clinical Social Worker · NPI 1689554347

Lacy Dawn Green is a Clinical Social Worker in Gainesville, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

87 Elm St
Gainesville, MO 65655-7131
Phone: (417) 679-2775
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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 2025037160 (MO)

Record details

NPI number1689554347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing addressPo Box 1359, Ava, MO 65608-1359

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