Provider Demographics
NPI:1538995741
Name:CONSIGLIO, ALEXIS ROXANNE (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ROXANNE
Last Name:CONSIGLIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:ROXANNE
Other - Last Name:CONCEPCION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:151 WAI CT UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-5886
Mailing Address - Country:US
Mailing Address - Phone:973-330-6036
Mailing Address - Fax:
Practice Address - Street 1:151 WAI CT UNIT 101
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-5886
Practice Address - Country:US
Practice Address - Phone:808-433-8601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical