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General NPI Number Information
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NPI Number | 1255070009
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Entity Type | Individual
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Provider Name | ERICA E ALESSI LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1000 AINSWORTH DR STE 105
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City | PRESCOTT
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State | AZ
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Zip | 86305-1681
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Country | US
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Telephone | 812-343-7308
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Fax |
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Provider Business Mailing Address
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Address Line | 7359 N SUMMIT VIEW DR
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86315-3013
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Country | US
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Telephone | 812-343-7308
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-22850
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License Number State | AZ
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