Provider Demographics
NPI:1972597326
Name:ALESSI, JOSEPH J (LCSWR)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:ALESSI
Suffix:
Gender:M
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 BIDWELL PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1164
Mailing Address - Country:US
Mailing Address - Phone:716-886-1142
Mailing Address - Fax:716-886-0016
Practice Address - Street 1:142 BIDWELL PKWY
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1164
Practice Address - Country:US
Practice Address - Phone:716-886-1142
Practice Address - Fax:716-886-0016
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0203571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6201513OtherINDEPENDENT HEALTH
NY00020350801OtherUNIVERA
NY7496055OtherVO/GHI
NY000508450001OtherBCBS OF WNY
NY6201513OtherINDEPENDENT HEALTH