Active NPIIndividual provider

Alisa R Bivens, LCSW

Social Worker, Clinical in Fort Thomas, Kentucky

NPI Number1104193929
Practice location
1501 Alexandria Pike Ste 102, Fort Thomas, KY 41075-2561
Fax
—
Last updated
August 8, 2023

Alisa R Bivens is a Social Worker, Clinical based in Fort Thomas, KY. Alisa R Bivens practices in Fort Thomas, KY and has the professional credentials of LCSW. The NPI Number for Alisa R Bivens is 1104193929 and holds a License No. LC145558 (ME). The current practice location address for Alisa R Bivens is 1501 Alexandria Pike Ste 102, Fort Thomas, KY 41075-2561 and can be reached out via phone at 207-400-7758.

Provider Profile Details

NPI Number
1104193929
Provider Name
Alisa R Bivens
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1501 Alexandria Pike Ste 102, Fort Thomas, KY 41075-2561
Phone Number
207-400-7758
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Alisa B Longo (Former Name)
Provider Enumeration Date
November 22, 2011
Last Update Date
August 8, 2023
Certification Date
August 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1501 Alexandria Pike Ste 102
Fort Thomas, KY 41075-2561
Zip
41075-2561
Phone Number
207-400-7758
Fort Thomas, KY 41075Get directions →

Provider Business Mailing Address Details

Address
1501 Alexandria Pike Ste 102
Fort Thomas, KY 41075-2561
City
Fort Thomas
State
KY
Zip
41075-2561
Phone Number
207-400-7758

License Information

License Number
LC145558
License State
ME
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 Alisa R Bivens, LCSW?

The NPI number of Alisa R Bivens, LCSW is 1104193929. It was assigned on November 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Alisa R Bivens, LCSW?

Alisa R Bivens, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC145558.

Where does Alisa R Bivens, LCSW practice?

The practice location is 1501 Alexandria Pike Ste 102, Fort Thomas, KY 41075-2561. The office can be reached at 207-400-7758 (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 1104193929 directly on the NPPES registry website.

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