Provider Demographics
NPI:1225299118
Name:ISAACS, ALYSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:ISAACS
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 1:1333 GOUGH STREET
Mailing Address - Street 2:APARTMENT 4M
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-928-3327
Mailing Address - Fax:
Practice Address - Street 1:1333 GOUGH ST APT 4M
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6532
Practice Address - Country:US
Practice Address - Phone:415-928-3327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS200741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS20074OtherBOARD OF BEHAVIORAL SCIENCE EXAMINERS