ALISA M MATTIAZZI


Address: 10006 100th Ave Sw, Lakewood, WA 98498-3124
Phone: 5033026295

ALISA M MATTIAZZI (NPI# 1700493806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700493806
Entity Type Individual
Full Name ALISA M MATTIAZZI
Credential LICSW
Practice Address 10006 100th Ave Sw
Lakewood
WA 98498-3124
Practice Telephone 5033026295
Mailing Telephone 5033026295
Enumeration Date 2020-09-23
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LW60489586 WA Behavioral Health & Social Service Providers

Office Location

Street Address 10006 100TH AVE SW
City LAKEWOOD
State WA
Zip Code 98498-3124

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NPI Name Taxonomy Address Enumeration
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1821546946 Epc General Contracting Services LLC Home Health 7423 Onyx Dr Sw, Lakewood, WA 98498 2016-09-18
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1730321043 James David Eshelman Dentist 8817-69th St. Ct. S.w., Lakewood, WA 98498 2009-04-01
1235393422 Risa Leanne Salters Social Worker Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 2008-07-16
1750596243 Ruth Anne Hickey Counselor 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 2007-05-10
1982818803 Linda J Leblanc Nurse Practitioner 10814 Deepwood Dr Sw, Lakewood, WA 98498 2007-05-09
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Competitor

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City LAKEWOOD
Zip Code 98498

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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