Provider Demographics
NPI:1548301740
Name:MCGEE, ALY (MSW LICSW)
Entity type:Individual
Prefix:MRS
First Name:ALY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 6TH AVE NE STE 1
Mailing Address - Street 2:
Mailing Address - City:ISANTI
Mailing Address - State:MN
Mailing Address - Zip Code:55040-3207
Mailing Address - Country:US
Mailing Address - Phone:763-444-5567
Mailing Address - Fax:763-444-4991
Practice Address - Street 1:711 6TH AVE NE # 1
Practice Address - Street 2:
Practice Address - City:ISANTI
Practice Address - State:MN
Practice Address - Zip Code:55040-3207
Practice Address - Country:US
Practice Address - Phone:763-444-5567
Practice Address - Fax:763-444-4991
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN147051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN9090067OtherMN TAXES
MN1457502577OtherGROUP NPI
MN746488100Medicaid