Alefyah Taqui, LCSW

Individual provider Active NPI Clinical Social Worker · Irvington, AL

NPI 1104222983 · NPPES record last updated Dec 5, 2014

Key facts

NPI
1104222983
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1161-3580C (AL)
Practice address
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone
(251) 824-2174
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1161-3580CALMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1161-3580C AL Yes

Addresses

Primary practice location

12701 Padgett Switch Rd
Irvington, AL 36544-4011

Mailing address

PO Box 769
Bayou la Batre, AL 36509-0769
Phone (251) 824-2174

Other providers in Irvington, AL

All providers in Irvington, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.