Individual
LACEY KOESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW, RPT
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05700
KS
1041C0700X
Clinical Social Worker
2022026932
MO
1041C0700X
Clinical Social Worker
LC24894
ME
Other
Enumeration date
06/20/2016
Last updated
11/16/2025
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