MEDICARE: ALLYSSA HAILEY MARKEL LCSW

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
1	1041C0700X	Clinical Social Worker	117365	TX
2	1041C0700X	Clinical Social Worker	149.029111	IL

General Provider Information

NPI Number	:	1427851278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSSA HAILEY MARKEL LCSW

Provider Business Mailing Address
First Line	:	1100 S LAMAR BLVD APT 1363
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-0198
Country	:	US
Telephone Number	:	240-743-7463
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 S LAMAR BLVD APT 1363
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-0198
Country	:	US
Telephone Number	:	240-743-7463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/13/2026

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