Active NPI
Elvis Alicea, LCSW
- Clinical Social Worker
- Hope, KY
National Provider Identifier
1124458294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3467
- Practice address
- 700 Hope Hill Rd
Hope, KY 40334-7002 - Phone
- (859) 498-5230
- Fax
- (859) 498-2606
- NPI assigned
- Nov 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3467 | KY | Primary |
Addresses
Primary practice location
700 Hope Hill Rd
Hope, KY 40334-7002
Mailing address
528 Highland Ave
Mt Sterling, KY 40353-8842
Phone (859) 274-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3467 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1124458294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 HIGHLAND AVE",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403538842",
"telephone_number": "859-274-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HOPE HILL RD",
"city": "HOPE",
"state": "KY",
"postal_code": "403347002",
"telephone_number": "859-498-5230",
"fax_number": "859-498-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALICEA",
"first_name": "ELVIS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hope, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.