Healthcare Provider Details

I. General information

NPI: 1093329542
Provider Name (Legal Business Name): ALYSSE LITTLEBERRY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 EVERGREEN AVE STE 204
PITTSBURGH PA
15209-2257
US

IV. Provider business mailing address

820 EVERGREEN AVE STE 204
PITTSBURGH PA
15209-2257
US

V. Phone/Fax

Practice location:
  • Phone: 724-242-7020
  • Fax: 724-313-4864
Mailing address:
  • Phone: 724-242-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW025301
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW137346
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: