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NPI Code Detail

MEDICARE: ALYSSA PIEDRAHITA

MEDICARE: ALYSSA PIEDRAHITA
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 WorkerP016675NC
21041C0700XClinical Social Worker0904018429VA

General Provider Information

NPI Number : 1497418453
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA PIEDRAHITA
Provider Business Mailing Address
First Line : 4008 W BROAD ST APT 432
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3988
Country : US
Telephone Number : 203-598-2258
Fax Number :
Provider Business Practice Location Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-592-6311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 05/28/2025

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Directions to “ ALYSSA PIEDRAHITA ” Practice Location

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