Provider Demographics
NPI:1811394398
Name:ZUBE, ALYSSA LAURENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:LAURENE
Last Name:ZUBE
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:N430 RIVERSIDE LN
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:WI
Mailing Address - Zip Code:54632-8851
Mailing Address - Country:US
Mailing Address - Phone:608-632-1621
Mailing Address - Fax:608-416-1621
Practice Address - Street 1:114 W COURT ST STE B
Practice Address - Street 2:
Practice Address - City:VIROQUA
Practice Address - State:WI
Practice Address - Zip Code:54665-1505
Practice Address - Country:US
Practice Address - Phone:608-616-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11428104100000X
WI8931-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker