Provider Demographics
NPI:1609503408
Name:HANAGAN, ALINA (LCSWA)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:HANAGAN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 E HARGETT ST APT 234
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3143
Mailing Address - Country:US
Mailing Address - Phone:336-409-6381
Mailing Address - Fax:
Practice Address - Street 1:408 E HARGETT ST APT 234
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-3143
Practice Address - Country:US
Practice Address - Phone:336-409-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0180211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical