Healthcare Provider Details

I. General information

NPI: 1255228185
Provider Name (Legal Business Name): EMILY ALDREDGE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5676 COUNTY ROAD 82
WEDOWEE AL
36278-3810
US

IV. Provider business mailing address

547 CENTER HILL RD
LINEVILLE AL
36266-6310
US

V. Phone/Fax

Practice location:
  • Phone: 256-906-5822
  • Fax: 256-242-1282
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6225C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: