NPI 1083182778 · live from the CMS NPI Registry
Alyssa Ackerson, LMSW
Social Worker, Clinical in Essex, CT. National Provider Identifier 1083182778, active.
NPI record
| NPI | 1083182778 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 190 Westbrook Rd, Essex, CT 06426 |
| Practice phone | 860-767-0147 |
| Mailing address | 255 Hempstead St, New London, CT 06320 |
| Enumerated | November 12, 2018 |
| Last updated | June 13, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Social Worker, Clinical primary | 1041C0700X | MSW.TEMP (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.