Authentic Alliance, a Licensed Clinical Social Worker P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUTHENTIC ALLIANCE, A LICENSED CLINICAL SOCIAL WORKER P.C.

Practice address

445 Bellevue Ave Ste 104a
Oakland, CA 94610-4923

Phone

(707) 596-9696

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Lisette Rose Lahana, LCSWNPI 1750443420

Title

Owner/President

Phone

(510) 915-4795

Specialties & licenses 1

Addresses

Other names 1

• Authentic Alliance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisette Rose Lahana, LCSW

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1750443420
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1194595702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 3RD ST UNIT 5045",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074375",
            "telephone_number": "707-596-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BELLEVUE AVE STE 104A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104923",
            "telephone_number": "707-596-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC ALLIANCE, A LICENSED CLINICAL SOCIAL WORKER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "LAHANA",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "510-915-4795",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison L Austin, FNP
• Je'Ta'Ime NE'Cole Austin
• Leia M Austin, MFT
• Rebecca Ladd Eakins Austin, M.D.
• Kayla Jeanne Authelet, MD
• Authentic Path Psychology PC
• Autism Collaborative Therapies
• Fayola Autry, MPH
• Siu Kelvin Auyoung, DDS
• Angelina Rose Avalon

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.