Provider Demographics
NPI:1013767904
Name:LACEY TRENT LCSW
Entity Type:Organization
Organization Name:LACEY TRENT LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:562-652-9744
Mailing Address - Street 1:13112 HADLEY ST STE 106A
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4583
Mailing Address - Country:US
Mailing Address - Phone:562-652-9744
Mailing Address - Fax:
Practice Address - Street 1:13112 HADLEY ST STE 106A
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4583
Practice Address - Country:US
Practice Address - Phone:562-652-9744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty