Provider Demographics
NPI:1952469520
Name:ALBERS, JANE E (MSW, LCSW, LCAS, CCS)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:E
Last Name:ALBERS
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CAROLINA BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28428-4519
Mailing Address - Country:US
Mailing Address - Phone:910-520-7738
Mailing Address - Fax:910-458-5382
Practice Address - Street 1:504 S 7TH ST
Practice Address - Street 2:
Practice Address - City:CAROLINA BEACH
Practice Address - State:NC
Practice Address - Zip Code:28428-4519
Practice Address - Country:US
Practice Address - Phone:910-520-7738
Practice Address - Fax:910-458-5382
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO42091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106213Medicaid