Provider Demographics
NPI:1831935261
Name:FICHMAN, ALANA DANIELLE (MSW)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:DANIELLE
Last Name:FICHMAN
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:ILAN
Other - Middle Name:
Other - Last Name:FICHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:3908 CARLISLE BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-4504
Mailing Address - Country:US
Mailing Address - Phone:707-591-1726
Mailing Address - Fax:
Practice Address - Street 1:3908 CARLISLE BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-4504
Practice Address - Country:US
Practice Address - Phone:707-591-1726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-04
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2024-0676104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker