Provider Demographics
NPI:1295056786
Name:HERSEY, ALEX (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:
Last Name:HERSEY
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 1:105 DOMENO DR
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2717
Mailing Address - Country:US
Mailing Address - Phone:814-937-4408
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 417
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2441
Practice Address - Country:US
Practice Address - Phone:828-707-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0078171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical