Alicia Benincasa
Individual provider Active NPI Community Health Worker · Lapeer, MI
NPI 1831556661 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1831556661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1570 Suncrest Dr
Lapeer, MI 48446-1154 - Phone
- (810) 667-0500
- Fax
- (810) 664-8728
- NPI assigned
- Jan 25, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1570 Suncrest Dr
Lapeer, MI 48446-1154
Mailing address
1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone (810) 667-0500
Other providers in Lapeer, MI
- Renee Bechtel
- Kimberly L Becker-Castle
- Jamie Begley
- Behavioral & Social Solutions, P.C.
- Crystal L Bell
- Amber Bennett
- Andrew Bennett
- Lisa Bennett
- Emily Benson
- Dawn Marie Berger
All providers in Lapeer, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. 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.