Provider Demographics
NPI:1083418115
Name:ALESSANDRO, MICHELLE JOSEPHINE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JOSEPHINE
Last Name:ALESSANDRO
Suffix:
Gender:
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 28TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-1738
Mailing Address - Country:US
Mailing Address - Phone:330-933-0335
Mailing Address - Fax:
Practice Address - Street 1:1220 28TH ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-1738
Practice Address - Country:US
Practice Address - Phone:330-933-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS-2005244104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker