Provider Demographics
NPI:1518415348
Name:NIXON, ALAINA RAE (CSW)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:RAE
Last Name:NIXON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E SAINT CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-3409
Mailing Address - Country:US
Mailing Address - Phone:502-587-5080
Mailing Address - Fax:502-587-5009
Practice Address - Street 1:607 E. ST. CATHERINE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-3409
Practice Address - Country:US
Practice Address - Phone:502-587-5080
Practice Address - Fax:502-587-5009
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYCSW #7079104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker