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NPI Code Detail

MEDICARE: ALISSA MARIE STRACHAN

MEDICARE: ALISSA MARIE STRACHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW116966CA
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social WorkerLCSW136311CA
4225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1083144885
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA MARIE STRACHAN
Provider Business Mailing Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number : 408-885-5346
Fax Number :
Provider Business Practice Location Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number : 408-885-5346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 01/08/2026

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