Provider Demographics
NPI:1457360620
Name:ALESSI, JOYCE E (LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:E
Last Name:ALESSI
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4676 LAKEVIEW AVE
Mailing Address - Street 2:SUITE 114-G
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-2489
Mailing Address - Country:US
Mailing Address - Phone:714-779-6721
Mailing Address - Fax:714-692-5467
Practice Address - Street 1:4676 LAKEVIEW AVE
Practice Address - Street 2:SUITE 114-G
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-2489
Practice Address - Country:US
Practice Address - Phone:714-779-6721
Practice Address - Fax:714-692-5467
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS158171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW15817IMedicare ID - Type Unspecified