Healthcare Provider Details

I. General information

NPI: 1578479986
Provider Name (Legal Business Name): ALYSSA R MEJORADO ASW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 GREENHAVEN DR STE 270
SACRAMENTO CA
95831-3593
US

IV. Provider business mailing address

7311 GREENHAVEN DR STE 270
SACRAMENTO CA
95831-3593
US

V. Phone/Fax

Practice location:
  • Phone: 888-752-6777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW132760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: