Provider Demographics
NPI:1497804025
Name:YACOBOZZI, ALISON (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:YACOBOZZI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 SHIP ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-1171
Mailing Address - Country:US
Mailing Address - Phone:269-408-8013
Mailing Address - Fax:
Practice Address - Street 1:811 SHIP ST FL 2
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1171
Practice Address - Country:US
Practice Address - Phone:269-408-8013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010644681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical