Doctor Name: | MR. ELVIS ALICEA |
NPI Number: | 1124458294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 3467 |
Business Practice Address: | 700 Hope Hill Rd Hope, KY - 403347002 |
Business Phone Number: | 8594985230 |
Business Fax Number: | 8594982606 |
Mailing Address: | 528 Highland Ave, MT STERLING |
State: | KY |
Postal Code: | 403538842 |
Phone Number: | 8592742021 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |