Healthcare Provider Details

I. General information

NPI: 1679228662
Provider Name (Legal Business Name): ALESSANDRA M MULROY MSW, LICSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FRONTIER BEHAVIORAL HEALTH, 107 SOUTH DIVISION STREET,
SPOKANE WA
99202
US

IV. Provider business mailing address

FRONTIER BEHAVIORAL HEALTH, 107 SOUTH DIVISION STREET,
SPOKANE WA
99202
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-4651
  • Fax:
Mailing address:
  • Phone: 509-838-4651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSC61139447
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61139447
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: