Provider Demographics
NPI:1124324082
Name:DOSS, ALESSIA (LICSW)
Entity type:Individual
Prefix:
First Name:ALESSIA
Middle Name:
Last Name:DOSS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3114
Mailing Address - Country:US
Mailing Address - Phone:857-350-0395
Mailing Address - Fax:
Practice Address - Street 1:148 NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3114
Practice Address - Country:US
Practice Address - Phone:857-350-0395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1221591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical