Healthcare Provider Details

I. General information

NPI: 1760864284
Provider Name (Legal Business Name): ALEXIS DEANNA LEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXIS DEANNA BATCHELOR MSW,LCSW

II. Dates (important events)

Enumeration Date: 06/20/2015
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 BEVERLY BLVD STE A5
WHITTIER CA
90601-2570
US

IV. Provider business mailing address

10820 BEVERLY BLVD STE A5
WHITTIER CA
90601-2570
US

V. Phone/Fax

Practice location:
  • Phone: 562-475-1392
  • Fax:
Mailing address:
  • Phone: 562-475-1392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number89319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: