Lisa Marie Alfonso, B.A.
Individual provider Active NPI Social Worker · Palmdale, CA
NPI 1720119332 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720119332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 190 Sierra CT Ste C8
Palmdale, CA 93550-7609 - Phone
- (661) 266-4783
- NPI assigned
- Mar 7, 2007
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
190 Sierra CT Ste C8
Palmdale, CA 93550-7609
Mailing address
190 Sierra CT Ste C8
Palmdale, CA 93550-7609
Phone (661) 266-4783
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.