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

Individual provider Clinical Social Worker · NPI 1669965687

Lacy Michelle Theobald, LCSW is a Clinical Social Worker in Temple, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3010 Scott Blvd Ste 103
Temple, TX 76504-6803
Phone: (254) 773-4022
Fax: (254) 773-0919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6801 Sanger Ave Ste 101, Waco, TX 76710-7807 — (903) 872-4443

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 50725 (TX)

Record details

NPI number1669965687
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 13, 2018
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

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