Lacey Kristine Brooks, LISW
Social Worker, Clinical in Fairfield, IA. Individual provider (NPI-1).
NPI number1174166342
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1174166342
- Entity type
- Individual (NPI-1)
- Name
- Lacey Kristine Brooks
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2019
- Certification date
- May 8, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 007699 | IA | Yes |
Other names
- Lacey Dickey (Former Name)
Practice location
406 E Madison AveFairfield, IA 52556-3645
Phone 641-683-5773 · Fax 641-226-5759
Mailing address
Po Box 458Ottumwa, IA 52501-0458
Phone 641-684-6896 · Fax 641-226-5759
Other practice locations
114 W Main St
Richland, IA 52585
Richland, IA 52585
Phone 641-895-2149
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