Provider Demographics
NPI:1891478269
Name:ROOKS, ALISSA WOODWORTH
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:WOODWORTH
Last Name:ROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISSA
Other - Middle Name:ANN
Other - Last Name:WOODWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15202 19TH AVENUE CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-9767
Mailing Address - Country:US
Mailing Address - Phone:773-230-5332
Mailing Address - Fax:
Practice Address - Street 1:15202 19TH AVENUE CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-9767
Practice Address - Country:US
Practice Address - Phone:773-230-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA611340421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical