Provider Demographics
NPI:1427116813
Name:GRASSO, ALBERT C (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:C
Last Name:GRASSO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S CEDAR AVE
Mailing Address - Street 2:BLDG. 320
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-2908
Mailing Address - Country:US
Mailing Address - Phone:559-453-8300
Mailing Address - Fax:559-453-8916
Practice Address - Street 1:515 S CEDAR AVE
Practice Address - Street 2:BLDG. 320
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-2908
Practice Address - Country:US
Practice Address - Phone:559-453-8300
Practice Address - Fax:559-453-8916
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS70761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical