Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisa Jaffe Holleron

Individual provider Clinical Social Worker · NPI 1669697579

Alisa Jaffe Holleron is a Clinical Social Worker in Evanston, Illinois. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

232 Lee St Apt F1
Evanston, IL 60202-1488
Phone: (530) 417-2869
Fax: (916) 933-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24452 (CA)

Record details

NPI number1669697579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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