Healthcare Provider Details

I. General information

NPI: 1508723529
Provider Name (Legal Business Name): ALESSANDRA ANNALIZA KORBER LISW-CP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 584
EASLEY SC
29641-0584
US

IV. Provider business mailing address

PO BOX 584
EASLEY SC
29641-0584
US

V. Phone/Fax

Practice location:
  • Phone: 864-334-8080
  • Fax:
Mailing address:
  • Phone: 864-334-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18476
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: