Provider Demographics
NPI:1194525006
Name:MURPHY, ALICIA WIGGINS (LCSW)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:WIGGINS
Last Name:MURPHY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:ANN
Other - Last Name:WIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:139 ALACHUA LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-1234
Mailing Address - Country:US
Mailing Address - Phone:229-310-3033
Mailing Address - Fax:
Practice Address - Street 1:139 ALACHUA LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1234
Practice Address - Country:US
Practice Address - Phone:229-310-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSW17139CP1041C0700X
GACSW0086321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical