MEDICARE: MISS KELLY ALESSANDRO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1144507831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KELLY ALESSANDRO LCSW

Provider Business Mailing Address
First Line	:	2853 LAKE VALENCIA BLVD E
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-4002
Country	:	US
Telephone Number	:	727-235-9463
Fax Number	:

Provider Business Practice Location Address
First Line	:	2853 LAKE VALENCIA BLVD E
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-4002
Country	:	US
Telephone Number	:	727-235-9463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	11/22/2025

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