Provider Demographics
NPI:1083758395
Name:LACAZE, ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:LACAZE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3656
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93130-3656
Mailing Address - Country:US
Mailing Address - Phone:805-698-0897
Mailing Address - Fax:805-967-4680
Practice Address - Street 1:5708 HOLLISTER AVE
Practice Address - Street 2:# 236
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-3482
Practice Address - Country:US
Practice Address - Phone:805-698-0897
Practice Address - Fax:805-967-4680
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS143971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW14397Medicare ID - Type UnspecifiedLCSW