Provider Demographics
NPI:1225425184
Name:LASOFF, ALYSSA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:
Last Name:LASOFF
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 1:1302 GEORGIA AVE APT C
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-3504
Mailing Address - Country:US
Mailing Address - Phone:702-540-6791
Mailing Address - Fax:
Practice Address - Street 1:1302 GEORGIA AVE APT C
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-3504
Practice Address - Country:US
Practice Address - Phone:702-540-6791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-8431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical