NPI 1255744827 · live from the CMS NPI Registry
Alicia Ascencio, LCSW
Social Worker, Clinical in Nampa, ID. National Provider Identifier 1255744827, active.
NPI record
| NPI | 1255744827 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 112 12th Ave Rd, Nampa, ID 83686 |
| Practice phone | 208-465-5433 |
| Enumerated | June 11, 2014 |
| Last updated | March 8, 2017 |
| Sole proprietor | Yes |
| Other names | Alicia Keithley |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LCSW-36423 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.