Individual
CHERYL LYNN LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 TOLL GATE RD, WARWICK, RI 02886-4416
(401) 862-7850
Mailing address
105 TOWN FARM RD, PASCOAG, RI 02859-2405
(401) 862-7850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
218558
MA
1041C0700X
Clinical Social Worker
CSW01484
RI
1041C0700X
Clinical Social Worker
Primary
ISW02413
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
05/01/2012
Last updated
03/20/2026
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