Healthcare Provider Details

I. General information

NPI: 1285336248
Provider Name (Legal Business Name): ALEXANDRE M MUISE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 GOODYEAR AVE STE 203
VENTURA CA
93003-8026
US

IV. Provider business mailing address

2920 PENINSULA RD
OXNARD CA
93035-4054
US

V. Phone/Fax

Practice location:
  • Phone: 805-790-0120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number139904
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: