Miss. Alisa Erickson
Miss. Alisa Erickson is a Clinical Social Worker in Provo, Utah. Qualified in 2013, 13 years ago. Practices with Wasatch Behavioral Health Special Service District, a 82-clinician group and accepts Medicare assignment.
- Years since qualifying
- 13
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
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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 |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1851604276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2010 |
| Last updated in NPPES | May 17, 2022 |
| Certification date | May 17, 2022 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Wasatch Behavioral Health Special Service District — 82 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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