Individual provider Active NPI

Alyssa Uchida, MSW, QMHP, LCSW

  • Clinical Social Worker
  • Geneva, IL
National Provider Identifier
1083017065
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019098 Issued in IL
Practice address
321 Hamilton St
Geneva, IL 60134-2148
Phone
(630) 486-5663
Fax
(630) 524-9116
NPI assigned
Oct 3, 2014
Last updated
Nov 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL
Clinical Social Worker 1041C0700X 149019098 IL Primary

Addresses

Primary practice location

321 Hamilton St
Geneva, IL 60134-2148

Mailing address

321 Hamilton St
Geneva, IL 60134-2148
Phone (630) 486-5663

Other practice location 1

115 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 221-3177

Other names 1

  • Alyssa Lizzi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149019098ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Action Consulting and Therapy, PLLC Clinical CurrentSince Feb 4, 2024 Accepting new patients

Locations

321 Hamilton St
Geneva, IL 60134
Phone (630) 464-4609

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1083017065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342148",
            "telephone_number": "630-486-5663",
            "fax_number": "630-524-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342148",
            "telephone_number": "630-486-5663",
            "fax_number": "630-524-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N County Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873977",
            "country_code": "US",
            "telephone_number": "630-221-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UCHIDA",
        "first_name": "ALYSSA",
        "credential": "MSW, QMHP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "LIZZI",
            "credential": "MSW, QMHP, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.