Provider Demographics
NPI:1841556339
Name:SOCASH, ALISA ANN
Entity Type:Individual
Prefix:
First Name:ALISA
Middle Name:ANN
Last Name:SOCASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 S JONES BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5632
Mailing Address - Country:US
Mailing Address - Phone:702-685-3300
Mailing Address - Fax:702-586-3333
Practice Address - Street 1:2775 S JONES BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5632
Practice Address - Country:US
Practice Address - Phone:702-685-3300
Practice Address - Fax:702-586-3333
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6045-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical