Provider Demographics
NPI:1447931894
Name:ALSPAUGH, ALEXANDRA NIGHTINGALE (LCSW-A, LCAS-A)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NIGHTINGALE
Last Name:ALSPAUGH
Suffix:
Gender:F
Credentials:LCSW-A, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2879 CHANDLER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-8027
Mailing Address - Country:US
Mailing Address - Phone:828-723-0404
Mailing Address - Fax:
Practice Address - Street 1:1075 HENDERSONVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7802
Practice Address - Country:US
Practice Address - Phone:828-723-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0173151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P017315OtherNORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD