Provider Demographics
NPI:1215813993
Name:ERNST, ALICIA ANN (LMSW)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:ANN
Last Name:ERNST
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 SPRUCE WOOD DR
Mailing Address - Street 2:
Mailing Address - City:ASBURY
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2304
Mailing Address - Country:US
Mailing Address - Phone:507-676-1470
Mailing Address - Fax:
Practice Address - Street 1:2005 ASBURY RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3042
Practice Address - Country:US
Practice Address - Phone:515-706-4754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007490104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker