MEDICARE: ALPINE'S EMPOWERMENT AGENCY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164964813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE'S EMPOWERMENT AGENCY, LLC

Provider Business Mailing Address
First Line	:	7014 SMITH CORNERS BLVD # 1198
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-3793
Country	:	US
Telephone Number	:	314-516-3718
Fax Number	:	314-648-2847

Provider Business Practice Location Address
First Line	:	7014 SMITH CORNERS BLVD # 1198
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-3793
Country	:	US
Telephone Number	:	314-516-3718
Fax Number	:	314-648-2847

Authorized Official
Title or Position	:	CEO
Name	:	SHAWNEE NEAL
Credential	:
Telephone Number	:	314-503-8218

Provider Enumeration Date	:	11/11/2016
Last Update Date	:	02/02/2026

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Directions to “ALPINE'S EMPOWERMENT AGENCY, LLC ” Practice Location

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