Provider Demographics
NPI:1942579545
Name:READY, ALISHA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:READY
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 1:15 GLENBROOK CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-5402
Mailing Address - Country:US
Mailing Address - Phone:530-566-4498
Mailing Address - Fax:
Practice Address - Street 1:6 GOVERNORS LN STE A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5590
Practice Address - Country:US
Practice Address - Phone:530-566-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2019-12-04
Deactivation Date:2019-10-10
Deactivation Code:
Reactivation Date:2019-11-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical