Adamcik, Lacey

Adamcik, Lacey is an individual health care provider with primary practice located at 11661 W Baserri Dr , Boise ID 83709. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adamcik, Lacey can be contacted via phone (208) 791-2886.

Contact Information

Primary practice address
11661 W Baserri Dr Boise ID 83709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-38291 Idaho

Profile Details

NPI number 1881073682
LBN Legal business name Adamcik, Lacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated Aug 27th, 2019 - about 6 years 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 1881073682 NPPES
Washington Other 1000001 ST OF WA

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