Active NPI
Alisha Dozier, LCSW 112617
- Clinical Social Worker
- Paso Robles, CA
National Provider Identifier
1508243163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112617
- Practice address
- 1140 Railroad St
Paso Robles, CA 93446-2532 - Phone
- (805) 835-2078
- NPI assigned
- May 4, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-D1407142045 | CA | |
| Clinical Social Worker | 1041C0700X | ASW-97249 | CA | |
| Clinical Social Worker | 1041C0700X | 112617 | CA | Primary |
Addresses
Primary practice location
1140 Railroad St
Paso Robles, CA 93446-2532
Mailing address
8320 Shirdon Place
Paso Robles, CA 93446
Phone (805) 835-2078
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
911 21St St
Suite 204
Paso Robles, CA 93446-1722
Phone (805) 835-2078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI-D1407142045 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 112617 | CA | MD | Clinical Social Worker |
| ASW-97249 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Ground Psychotherapy and Wellness, Apc | Clinical | Current | Accepting new patients |
Locations
911 21st St
Ste 204
Paso Robles, CA 93446
Phone (805) 674-9002
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Paso Robles, CA
- NPI 1669323143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1508243163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 SHIRDON PLACE",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-835-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 RAILROAD ST",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934462532",
"telephone_number": "805-835-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOZIER",
"first_name": "ALISHA",
"credential": "LCSW 112617",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-D1407142045",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW-97249",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paso Robles, CA
- Michelle A Diasparra
- Robert J Dingler, M.D.
- David Donald Dorfmeier
- Denise Manas Doronila, PA
- Douglas J. Harrington,D.D.S.,a Professional Dental Corporation
- Martin Dunne, DDS
- Bradley Dyck, DC
- Constance Lou Dykhouse, PT
- Eagle Medical Packaging Sterilization Inc
- Eileen Warren, PHD Professional Psychology Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.