Provider Demographics
NPI:1346719259
Name:NAZARIO, ALYSSA ANNA-MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ANNA-MARIE
Last Name:NAZARIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 LOUISIANA ST APT 3327
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9560
Mailing Address - Country:US
Mailing Address - Phone:813-418-2338
Mailing Address - Fax:
Practice Address - Street 1:8155 E FAIRMOUNT DR UNIT 821
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6832
Practice Address - Country:US
Practice Address - Phone:720-445-5649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099299231041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1346719259Medicaid