Provider Demographics
NPI:1225182868
Name:LACEY, ELIZABETH ANNE (LCSW # 210061)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:LACEY
Suffix:
Gender:F
Credentials:LCSW # 210061
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:LACEY
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:167 KELLEHER ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-6023
Mailing Address - Country:US
Mailing Address - Phone:508-251-1526
Mailing Address - Fax:
Practice Address - Street 1:1 CLARKS HL
Practice Address - Street 2:SUITE 305
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8172
Practice Address - Country:US
Practice Address - Phone:508-628-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker