Mrs Alyssa Jeannette Axelrod, LCSW is a
Social Worker - Clinical based in Wallingford, Connecticut. Mrs Alyssa Jeannette Axelrod is licensed to practice in Connecticut (license number 11167) and her current practice location is
17 Blakeslee Rd, Wallingford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 868-1853.
NPI number for Mrs Alyssa Jeannette Axelrod is 1114498268 and her current mailing address is 17 Blakeslee Rd, Wallingford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114498268.
Healthcare Provider's Profile
| Full Name | Mrs Alyssa Jeannette Axelrod |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 17 Blakeslee Rd, Wallingford, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114498268
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 08/31/2022
Medical Identifiers
Medical identifiers for Mrs Alyssa Jeannette Axelrod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114498268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 11167 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11167 (Connecticut) | 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. Mrs Alyssa Jeannette Axelrod 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 |
|---|
Mrs Alyssa Jeannette Axelrod, LCSW
17 Blakeslee Rd,
Wallingford, CT 06492-5212
Ph: (203) 868-1853 | Mrs Alyssa Jeannette Axelrod, LCSW
17 Blakeslee Rd,
Wallingford, CT 06492-5212
Ph: (203) 868-1853 |
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