Provider Demographics
NPI:1780024513
Name:MASSANARI, ALICE (LCSW)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:MASSANARI
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 1:150 CHATHAM RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3361
Mailing Address - Country:US
Mailing Address - Phone:828-275-3182
Mailing Address - Fax:
Practice Address - Street 1:150 CHATHAM RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3361
Practice Address - Country:US
Practice Address - Phone:828-275-3182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0027061041C0700X
FLSW41801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical