Mrs. Alyssa J Axelrod, LCSW
Social Worker, Clinical in Wallingford, Connecticut
1114498268- Practice location
- 17 Blakeslee RD, Wallingford, CT 06492-5212
- Phone
- 203-868-1853
- Fax
- —
- Last updated
- August 31, 2022
Alyssa Jeannette Axelrod is a Social Worker, Clinical based in Wallingford, CT. Alyssa Jeannette Axelrod practices in Wallingford, CT and has the professional credentials of LCSW. The NPI Number for Alyssa Jeannette Axelrod is 1114498268 and holds a License No. 11167 (CT). The current practice location address for Alyssa Jeannette Axelrod is 17 Blakeslee RD, Wallingford, CT 06492-5212 and can be reached out via phone at 203-868-1853.
Provider Profile Details
- NPI Number
- 1114498268
- Provider Name
- Alyssa Jeannette Axelrod
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17 Blakeslee RD, Wallingford, CT 06492-5212
- Phone Number
- 203-868-1853
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 16, 2018
- Last Update Date
- August 31, 2022
- Certification Date
- August 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Blakeslee RD
Wallingford, CT 06492-5212 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-5212
- Phone Number
- 203-868-1853
Provider Business Mailing Address Details
- Address
- 17 Blakeslee RD
Wallingford, CT 06492-5212 - City
- Wallingford
- State
- CT
- Zip
- 06492-5212
- Phone Number
- 203-868-1853
License Information
- License Number (1)
- 11167
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- License Number (4)
- 11167
- License State (4)
- CT
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Wallingford, CT
View all Social Worker, Clinical providers in Wallingford →Frequently Asked Questions
What is the NPI number of Mrs. Alyssa J Axelrod, LCSW?
The NPI number of Mrs. Alyssa J Axelrod, LCSW is 1114498268. It was assigned on December 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Alyssa J Axelrod, LCSW?
Mrs. Alyssa J Axelrod, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11167.
Where does Mrs. Alyssa J Axelrod, LCSW practice?
The practice location is 17 Blakeslee RD, Wallingford, CT 06492-5212. The office can be reached at 203-868-1853 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114498268 directly on the NPPES registry website.