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

Mr. Lacey Broom Holmes, LCSW

Individual provider Clinical Social Worker · NPI 1821560319

Mr. Lacey Broom Holmes, LCSW is a Clinical Social Worker in McComb, Mississippi. Qualified in 2007, 19 years ago. Practices with Serenity Psychiatric Outpatient, LLC, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
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

1312C Harrison Ave
McComb, MS 39648-2830
Phone: (601) 684-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 557 Grants Ferry Rd, Brandon, MS 39047-9023 — (601) 665-4162

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C5152 (MS)

Record details

NPI number1821560319
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Serenity Psychiatric Outpatient, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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