| Doctor Name: | MS. DELORES L LACEY |
| NPI Number: | 1134456429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, SAP |
| License Number: | 2008000856 |
| Business Practice Address: | 5494 Brown Road Suite 129 Hazelwood, MO - 630421101 |
| Business Phone Number: | 3147551952 |
| Business Fax Number: | 3147551951 |
| Mailing Address: | 2200 N Highway 67, #941 FLORISSANT |
| State: | MO |
| Postal Code: | 63033 |
| Phone Number: | 3147551952 |
| Fax Number: | 3147551951 |
| NPI Enumeration Date: | 11/09/2009 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2008000856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |