Individual provider · Type 1 NPI

Alice Jean Mang, LISW

Clinical Social Worker · Wright Patterson Afb, OH

NPI number 1891786323 Active

Practice location

4881 Sugar Maple Dr, 88MDG/SGHJ
Wright Patterson Afb, OH 45433-5546

Call (937) 257-1368 Map

Fax (937) 656-1192

Mailing address

2345 Sherwood Ct
Xenia, OH 45385-9103

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-0004396 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1891786323

Alice Jean Mang, LISW's National Provider Identifier is 1891786323, issued on Nov 3, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wright Patterson Afb, OH. The record was last updated on Jul 13, 2026.