Active NPIIndividual providerSole proprietor

Mr. Alan V Ivicic, LCSW-R

Social Worker, Clinical in Mahopac, New York

NPI Number1013163187
Practice location
220 Route 6, Mahopac, NY 10541-3850
Fax
—
Last updated
May 7, 2026

Alan Vincent Ivicic is a Social Worker, Clinical based in Mahopac, NY. Alan Vincent Ivicic practices in Mahopac, NY and has the professional credentials of LCSW-R. The NPI Number for Alan Vincent Ivicic is 1013163187 and holds a License No. 079338 (NY). The current practice location address for Alan Vincent Ivicic is 220 Route 6, Mahopac, NY 10541-3850 and can be reached out via phone at 917-336-4289.

Provider Profile Details

NPI Number
1013163187
Provider Name
Alan Vincent Ivicic
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Male
Address
220 Route 6, Mahopac, NY 10541-3850
Phone Number
917-336-4289
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2008
Last Update Date
May 7, 2026
Certification Date
May 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Route 6
Mahopac, NY 10541-3850
Zip
10541-3850
Phone Number
917-336-4289
Mahopac, NY 10541Get directions →

Provider Business Mailing Address Details

Address
220 Route 6
Mahopac, NY 10541-3850
City
Mahopac
State
NY
Zip
10541-3850
Phone Number
917-336-4289

License Information

License Number
079338
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Alan V Ivicic, LCSW-R?

The NPI number of Mr. Alan V Ivicic, LCSW-R is 1013163187. It was assigned on August 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Alan V Ivicic, LCSW-R?

Mr. Alan V Ivicic, LCSW-R is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 079338.

Where does Mr. Alan V Ivicic, LCSW-R practice?

The practice location is 220 Route 6, Mahopac, NY 10541-3850. The office can be reached at 917-336-4289 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013163187 directly on the NPPES registry website.

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