Lacey, Cheryl Lynn

Lacey, Cheryl Lynn is an sole proprietor health care provider with primary practice located at 300 Toll Gate Rd , Warwick RI 02886-4416. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lacey, Cheryl Lynn can be contacted via phone (401) 862-7850.

Contact Information

Primary practice address
300 Toll Gate Rd Warwick RI 02886-4416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW02413 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW01484 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X 218558 Massachusetts

Profile Details

NPI number 1053679779
LBN Legal business name Lacey, Cheryl Lynn
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2012
Last updated Jun 3rd, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053679779 NPPES
Rhode Island MEDICAID GH57134

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