Alissa Adler

Individual provider Active NPI Clinical Social Worker · Pasadena, CA

NPI 1366878985 · NPPES record last updated Oct 23, 2018

Key facts

NPI
1366878985
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
86217 (CA)
Practice address
867 N Fair Oaks Ave
Pasadena, CA 91103-3083
Phone
(626) 798-6793
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86217CAMDPharmacist
66958CAMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Social Worker 104100000X 66958 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 86217 CA Yes

Addresses

Primary practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3083

Mailing address

867 N Fair Oaks Ave
Pasadena, CA 91103-3083
Phone (626) 798-6793

Other providers in Pasadena, CA

All providers in Pasadena, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.