Provider Demographics
NPI:1730907734
Name:CAREY, ALICIA E (LMSW)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:E
Last Name:CAREY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:E
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:789 HAMMOND DR APT 1108
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-8155
Mailing Address - Country:US
Mailing Address - Phone:810-748-7317
Mailing Address - Fax:
Practice Address - Street 1:1070 CAMBRIDGE SQ
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1877
Practice Address - Country:US
Practice Address - Phone:810-748-7317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALMSW012067104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker