Provider Demographics
NPI:1437541927
Name:ABERCROMBIE, LACY D (LMSW)
Entity Type:Individual
Prefix:
First Name:LACY
Middle Name:D
Last Name:ABERCROMBIE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4302
Mailing Address - Country:US
Mailing Address - Phone:785-569-7165
Mailing Address - Fax:
Practice Address - Street 1:405 E IRON AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2634
Practice Address - Country:US
Practice Address - Phone:785-823-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8723104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker