Provider Demographics
NPI:1982317921
Name:MCGEE, ANIYA L (LICSW)
Entity Type:Individual
Prefix:
First Name:ANIYA
Middle Name:L
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 CARRAWAY ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-1910
Mailing Address - Country:US
Mailing Address - Phone:205-401-3249
Mailing Address - Fax:
Practice Address - Street 1:7901 CRESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2611
Practice Address - Country:US
Practice Address - Phone:205-401-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5035C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5035COtherALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS