Alyssa Lauren Balasco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113260 Issued in CA

Practice address

7699 Palmilla Dr Apt 3412
San Diego, CA 92122-5098

Phone

(401) 556-9810

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Real Talk California Psychotherapy Inc

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1831903558
  NPD Authorized official
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1346463932
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)
• Angell Street Psychiatry LTD

  • Psychiatry Physician
  • Warwick, RI
  • NPI 1114011756
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1306409941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 PALMILLA DR APT 3412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225098",
            "telephone_number": "401-556-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 PALMILLA DR APT 3412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225098",
            "telephone_number": "401-556-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASCO",
        "first_name": "ALYSSA",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW89579",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noriko Balajadia
• Kavya Balaji
• Balanced Life, Inc.
• Jorddy Balandran
• Lydia Balaoing
• Maggie Mae Cabral Balat, RN
• Lilit Balayan, DMD
• Balboa Ambulance Inc.
• Balboa Family Dentistry
• Balboa Healthcare, Inc.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.