MEDICARE: ALEXIS LIBERTY NAVARRO

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	ACSW133966	CA

General Provider Information

NPI Number	:	1598235699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS LIBERTY NAVARRO

Provider Business Mailing Address
First Line	:	1680 W SHAW AVE # 100
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	408-726-1849
Fax Number	:	209-465-2709

Provider Business Practice Location Address
First Line	:	1680 W SHAW AVE # 100
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	408-726-1849
Fax Number	:	209-465-2709

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

Provider Enumeration Date	:	11/30/2018
Last Update Date	:	11/19/2025

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Directions to “ ALEXIS LIBERTY NAVARRO ” Practice Location

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