Provider Demographics
NPI:1023224060
Name:MISCHEL, ALYSON NICOLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALYSON
Middle Name:NICOLE
Last Name:MISCHEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 427
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3561
Mailing Address - Country:US
Mailing Address - Phone:310-273-8851
Mailing Address - Fax:310-273-1129
Practice Address - Street 1:8950 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 427
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3561
Practice Address - Country:US
Practice Address - Phone:310-273-8851
Practice Address - Fax:310-273-1129
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA219921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical