Provider Demographics
NPI:1124826318
Name:LAWSON, KACEY ARLINE (LSW)
Entity type:Individual
Prefix:MRS
First Name:KACEY
Middle Name:ARLINE
Last Name:LAWSON
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 S PICKAWAY ST
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1706
Mailing Address - Country:US
Mailing Address - Phone:740-503-4285
Mailing Address - Fax:614-388-5561
Practice Address - Street 1:4605 MORSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-7300
Practice Address - Country:US
Practice Address - Phone:740-503-4285
Practice Address - Fax:614-388-5561
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1802987104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker