Individual provider · Type 1 NPI
Alisa Jaffe Holleron
Clinical Social Worker · Evanston, IL
Practice location
232 Lee St Apt F1
Evanston, IL 60202-1488
Fax (916) 933-5051
Mailing address
5011 Golden Foothill Pkwy, Suite 6
El Dorado Hills, CA 95762-9649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 24452 (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 1669697579
Alisa Jaffe Holleron's National Provider Identifier is 1669697579, issued on Apr 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Mar 5, 2021.