Provider Demographics
NPI:1003384876
Name:FRISBEE, ALICIA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:FRISBEE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 561 BOX 7481
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96310-0075
Mailing Address - Country:US
Mailing Address - Phone:805-915-8087
Mailing Address - Fax:
Practice Address - Street 1:PSC 561 BOX 7481
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96310-0075
Practice Address - Country:US
Practice Address - Phone:805-915-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW849761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical