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General NPI Number Information
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NPI Number | 1164072526
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Entity Type | Individual
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Provider Name | ALYSSA ROBBIN SHERWOOD MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | PO BOX 10
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City | NECEDAH
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State | WI
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Zip | 54646-0010
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Country | US
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Telephone | 608-313-7574
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | NECEDAH
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State | WI
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Zip | 54646-0010
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Country | US
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Telephone | 608-313-7574
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9806-123
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 131562-121
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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