Individual provider Active NPI

Alisha Dozier, LCSW 112617

  • Clinical Social Worker
  • Paso Robles, CA
National Provider Identifier
1508243163
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112617 Issued in CA
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

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415003712 CA Practitioner - Clinical Social Worker 7911473152 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RI-D1407142045CAMDAddiction (Substance Use Disorder) Counselor
112617CAMDClinical Social Worker
ASW-97249CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Ground Psychotherapy and Wellness, Apc Clinical CurrentSince Dec 18, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.