Provider Demographics
NPI:1619792603
Name:HOPE, ALLEGRA GABRIELLE (MSW, LCSW-A)
Entity type:Individual
Prefix:
First Name:ALLEGRA
Middle Name:GABRIELLE
Last Name:HOPE
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-2888
Mailing Address - Country:US
Mailing Address - Phone:704-881-4027
Mailing Address - Fax:
Practice Address - Street 1:2407 SIMONTON RD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-8247
Practice Address - Country:US
Practice Address - Phone:704-883-9814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0213141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical