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General NPI Number Information
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NPI Number | 1891679783
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Entity Type | Individual
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Provider Name | ALEXIS CLASCA LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 701 GEORGE WASHINGTON HWY STE 101
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City | LINCOLN
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State | RI
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Zip | 02865-4299
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Country | US
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Telephone | 844-222-2881
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Fax |
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Provider Business Mailing Address
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Address Line | 17 PRISCILLA AVE
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City | PROVIDENCE
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State | RI
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Zip | 02909-3507
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Country | US
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Telephone | 415-571-1386
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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 | ISW04554
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License Number State | RI
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