Provider Demographics
NPI:1255881975
Name:DANILOWICZ, ALEXANDER (LCSW, CADC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:DANILOWICZ
Suffix:
Gender:M
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N 2ND ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-3955
Mailing Address - Country:US
Mailing Address - Phone:919-610-4230
Mailing Address - Fax:
Practice Address - Street 1:311 N 2ND ST STE 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-3955
Practice Address - Country:US
Practice Address - Phone:910-240-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0128601041C0700X
NMC-106161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical