Provider Demographics
NPI:1720195647
Name:OPPER, ALEXANDER ERIC (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:ERIC
Last Name:OPPER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 11TH AVENUE DR SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8336
Mailing Address - Country:US
Mailing Address - Phone:828-695-5900
Mailing Address - Fax:828-695-4256
Practice Address - Street 1:3050 11TH AVENUE DR SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8336
Practice Address - Country:US
Practice Address - Phone:828-695-5900
Practice Address - Fax:828-695-4256
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0017671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC250638OtherCIGNA BEHAVIORAL HEALTH
NC6003649Medicaid
NC64194OtherBCBS
NC81999OtherSENTARA
NCSS#OtherCORPHALTH
NC184208OtherMEDCOST
NCSS#OtherUNITED BEHAVIORAL HEALTH
NC2872779AMedicare ID - Type UnspecifiedMEDICARE