Active NPI
Alysse Joseph, LCSW-C
- Clinical Social Worker
- Aberdeen, MD
National Provider Identifier
1124426879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20335
- Practice address
- 474 Bonnett St Apt B
Aberdeen, MD 21001-3350 - Phone
- (301) 615-0784
- NPI assigned
- Dec 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20335 | MD | Primary |
Addresses
Primary practice location
474 Bonnett St Apt B
Aberdeen, MD 21001-3350
Mailing address
629 Savage St
Baltimore, MD 21224-4620
Phone (301) 615-0784
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701475200000",
"number": "1124426879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 SAVAGE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244620",
"telephone_number": "301-615-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 BONNETT ST APT B",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210013350",
"telephone_number": "301-615-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ALYSSE",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2023-12-02",
"certification_date": "2023-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.