Provider Demographics
NPI:1740934330
Name:LACER, BRITTANEY AUTUMN (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTANEY
Middle Name:AUTUMN
Last Name:LACER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 INDIGO DAM RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2591
Mailing Address - Country:US
Mailing Address - Phone:541-730-9850
Mailing Address - Fax:
Practice Address - Street 1:125 INDIGO DAM RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2591
Practice Address - Country:US
Practice Address - Phone:541-730-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical