Provider Demographics
NPI:1508243163
Name:DOZIER, ALISHA (LCSW 112617)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:DOZIER
Suffix:
Gender:F
Credentials:LCSW 112617
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8320 SHIRDON PLACE
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446
Mailing Address - Country:US
Mailing Address - Phone:805-835-2078
Mailing Address - Fax:
Practice Address - Street 1:1140 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2532
Practice Address - Country:US
Practice Address - Phone:805-835-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARI-D1407142045101YA0400X
CAASW-972491041C0700X
CA1126171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)