Provider Demographics
NPI:1255502548
Name:DENSEN, ALAN MICHAEL (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:MICHAEL
Last Name:DENSEN
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 HUNTINGTON SHOALS DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-1876
Mailing Address - Country:US
Mailing Address - Phone:706-424-9997
Mailing Address - Fax:
Practice Address - Street 1:500 JESSE JEWELL PKWY SE
Practice Address - Street 2:#207
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3779
Practice Address - Country:US
Practice Address - Phone:770-718-9790
Practice Address - Fax:888-504-7955
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA39311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical