Alisha Romesha, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Alturas, CA

NPI 1831530682 · NPPES record last updated Aug 14, 2023

Key facts

NPI
1831530682
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
74657 (CA)
Practice address
670 Gooseloop Dr
Alturas, CA 96101-0699
Phone
(530) 640-0489
NPI assigned
Jul 9, 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)
Yes

State licenses

LicenseStateTypeSpecialty
74657CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34942 CA
Clinical Social Worker 1041C0700X 74657 CA Yes

Addresses

Primary practice location

670 Gooseloop Dr
Alturas, CA 96101-0699

Mailing address

670 Gooseloop Dr
Alturas, CA 96101-0699
Phone (530) 640-0489

Other providers in Alturas, CA

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

Sources for this page

Verify at the official NPI Registry.