Individual provider · Type 1 NPI

Alysa Harless Johnson, LCSW

Clinical Social Worker · Penn Valley, CA

NPI number 1235590258 Active

Practice location

14011 Lodgepole Ct
Penn Valley, CA 95946-9128

Fax (916) 405-4002

Mailing address

11354 Pleasant Valley Rd # 94
Penn Valley, CA 95946-9000

Other practice locations

  • 100 Prison Rd, Represa, CA 95671-3000 · (916) 985-8610
  • 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 · (530) 634-4662

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X77484 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1235590258

Alysa Harless Johnson, LCSW's National Provider Identifier is 1235590258, issued on Mar 18, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Penn Valley, CA. The record was last updated on Mar 9, 2022.