Provider Demographics
NPI:1790545101
Name:ALBERTINI, ALYSSA (LCSW, MSW, MS)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:ALBERTINI
Suffix:
Gender:F
Credentials:LCSW, MSW, MS
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, MS
Mailing Address - Street 1:1925 N. RT. 83
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030
Mailing Address - Country:US
Mailing Address - Phone:847-986-3100
Mailing Address - Fax:
Practice Address - Street 1:1925 N. RT. 83
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030
Practice Address - Country:US
Practice Address - Phone:847-986-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490214591041C0700X
IL10601171041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical