Provider Demographics
NPI:1427527449
Name:ALYSSA NAJERA AND ASSOCIATES, A LICENSED CLINICAL SOCIAL WORKER CORP.
Entity type:Organization
Organization Name:ALYSSA NAJERA AND ASSOCIATES, A LICENSED CLINICAL SOCIAL WORKER CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NAJERA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:209-968-1707
Mailing Address - Street 1:PO BOX 1192
Mailing Address - Street 2:
Mailing Address - City:RIVERBANK
Mailing Address - State:CA
Mailing Address - Zip Code:95367-1192
Mailing Address - Country:US
Mailing Address - Phone:209-968-1707
Mailing Address - Fax:
Practice Address - Street 1:460 N YOSEMITE AVE STE 9
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CA
Practice Address - Zip Code:95361-2755
Practice Address - Country:US
Practice Address - Phone:209-968-1707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty