Provider Demographics
NPI:1043280423
Name:MYER, ALICE (LCSW)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:MYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2337
Mailing Address - Country:US
Mailing Address - Phone:828-281-4566
Mailing Address - Fax:828-670-8404
Practice Address - Street 1:100 RIDGEFIELD CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2270
Practice Address - Country:US
Practice Address - Phone:828-670-8403
Practice Address - Fax:828-670-8404
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0047521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2879626Medicare ID - Type Unspecified