Alyssa Nicole Destefano, LCSW is a
Counselor - Mental Health based in Palm Springs, Florida. Alyssa Nicole Destefano is licensed to practice in Florida (license number SW21273) and her current practice location is
4020 Lake Worth Rd, Palm Springs, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 444-3512.
NPI number for Alyssa Nicole Destefano is 1154026284 and her current mailing address is 6161 Astoria Dr, Lake Worth, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154026284.
Healthcare Provider's Profile
Full Name | Alyssa Nicole Destefano |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 4020 Lake Worth Rd, Palm Springs, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154026284
- Provider Enumeration Date: 03/30/2023
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Alyssa Nicole Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154026284 | NPI | - | NPPES |
120762000 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | SW21273 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Nicole Destefano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alyssa Nicole Destefano, LCSW 6161 Astoria Dr, Lake Worth, FL 33463-7323 Ph: (917) 416-3858 | Alyssa Nicole Destefano, LCSW 4020 Lake Worth Rd, Palm Springs, FL 33461-3918 Ph: (561) 444-3512 |
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