Provider Demographics
NPI:1831530682
Name:ROMESHA, ALISHA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:ROMESHA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 GOOSELOOP DR
Mailing Address - Street 2:
Mailing Address - City:ALTURAS
Mailing Address - State:CA
Mailing Address - Zip Code:96101-0699
Mailing Address - Country:US
Mailing Address - Phone:530-640-0489
Mailing Address - Fax:
Practice Address - Street 1:670 GOOSELOOP DR
Practice Address - Street 2:
Practice Address - City:ALTURAS
Practice Address - State:CA
Practice Address - Zip Code:96101-0699
Practice Address - Country:US
Practice Address - Phone:530-640-0489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA349421041C0700X
CA746571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical