Provider Demographics
NPI:1336566918
Name:RABINOWITZ, ALICIA N (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:N
Last Name:RABINOWITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 OLD MONROE ROAD
Mailing Address - Street 2:SUITE B #74
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079
Mailing Address - Country:US
Mailing Address - Phone:516-603-7498
Mailing Address - Fax:
Practice Address - Street 1:6720 OLD MONROE RD
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5353
Practice Address - Country:US
Practice Address - Phone:980-272-7216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC129711041C0700X
NY0873431041C0700X
NCC0120241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical