Individual
ALYSE HELENE ERGOOD MCKEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1769 JAMESTOWN RD STE 207, WILLIAMSBURG, VA 23185-2307
(856) 438-0694
Mailing address
7901 4TH ST N STE 8058, ST PETERSBURG, FL 33702-4305
(856) 438-0694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013377
VA
1041C0700X
Clinical Social Worker
LICSW127188
—
1041C0700X
Clinical Social Worker
SW15294
FL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
06/18/2026
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