MEDICARE: MR. ALEXANDER ERIC OPPER LCSW

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	C001767	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	250638	OTHER	NC	CIGNA BEHAVIORAL HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	64194	OTHER	NC	BCBS
4	81999	OTHER	NC	SENTARA
5	SS#	OTHER	NC	CORPHALTH
6	184208	OTHER	NC	MEDCOST
7	SS#	OTHER	NC	UNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1720195647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDER ERIC OPPER LCSW

Provider Business Mailing Address
First Line	:	3050 11TH AVENUE DR SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-8336
Country	:	US
Telephone Number	:	828-695-5900
Fax Number	:	828-695-4256

Provider Business Practice Location Address
First Line	:	3050 11TH AVENUE DR SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-8336
Country	:	US
Telephone Number	:	828-695-5900
Fax Number	:	828-695-4256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	12/06/2007

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Directions to “ MR. ALEXANDER ERIC OPPER LCSW” Practice Location

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