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NPI Code Detail

MEDICARE: ALYSSA KRISTINE SOSA LCSW

MEDICARE: ALYSSA KRISTINE SOSA 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
1104100000XSocial Worker135632CA

General Provider Information

NPI Number : 1568158954
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA KRISTINE SOSA LCSW
Provider Business Mailing Address
First Line : 2440 TULARE ST STE 200
Second Line :
City : FRESNO
State : CA
Zip : 93721-2281
Country : US
Telephone Number : 559-443-4800
Fax Number :
Provider Business Practice Location Address
First Line : 2560 W SHAW LN STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93711-2777
Country : US
Telephone Number : 661-281-9042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2023
Last Update Date : 12/11/2025

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Directions to “ ALYSSA KRISTINE SOSA LCSW” Practice Location

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