Provider Demographics
NPI:1942681283
Name:WALKER-LANCE, KASEY E (LMSW)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:E
Last Name:WALKER-LANCE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:E
Other - Last Name:LANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4572 S HAGADORN RD STE 1E
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-5385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4572 S HAGADORN RD STE 1E
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5385
Practice Address - Country:US
Practice Address - Phone:517-481-4800
Practice Address - Fax:517-481-4801
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010893691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical