Provider Demographics
NPI:1760666242
Name:FLETCHER, ALISHA CASTAGNERA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ALISHA
Middle Name:CASTAGNERA
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7215 JUDY RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-6625
Mailing Address - Country:US
Mailing Address - Phone:443-710-2558
Mailing Address - Fax:443-270-4343
Practice Address - Street 1:7215 JUDY RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-6625
Practice Address - Country:US
Practice Address - Phone:443-710-2558
Practice Address - Fax:443-270-4343
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical