MEDICARE: ALICE MASSANARI 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	C002706	NC
2	1041C0700X	Clinical Social Worker	SW4180	FL

General Provider Information

NPI Number	:	1780024513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE MASSANARI LCSW

Provider Business Mailing Address
First Line	:	150 CHATHAM RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-3361
Country	:	US
Telephone Number	:	828-275-3182
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 CHATHAM RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-3361
Country	:	US
Telephone Number	:	828-275-3182
Fax Number	:

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	08/24/2015

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Directions to “ ALICE MASSANARI LCSW” Practice Location

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