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

Mrs. Lacey Jane Buckelew, ASW

Individual provider Social Worker · NPI 1417624859

Mrs. Lacey Jane Buckelew, ASW is a Social Worker in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

301 Victoria St
Costa Mesa, CA 92627-1995
Phone: (949) 574-3367
Fax: (949) 999-6192
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 124851 (CA)

Record details

NPI number1417624859
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorYes
NPI enumeratedAugust 24, 2021
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Other providers in Costa Mesa