Provider Demographics
NPI:1114680733
Name:STOKES, ALYSSA KAREN (CSW)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KAREN
Last Name:STOKES
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 INDIAN SCHOOL RD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4504
Mailing Address - Country:US
Mailing Address - Phone:505-363-2492
Mailing Address - Fax:505-266-0504
Practice Address - Street 1:7301 INDIAN SCHOOL RD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4504
Practice Address - Country:US
Practice Address - Phone:505-363-2492
Practice Address - Fax:505-266-0504
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator