Alicia Ascencio, LCSW
Social Worker, Clinical in Nampa, ID. Individual provider (NPI-1).
NPI number1255744827
StatusActive
Last updated in NPPESMar 8, 2017
Details
- NPI
- 1255744827
- Entity type
- Individual (NPI-1)
- Name
- Alicia Ascencio
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2014
- Last updated
- Mar 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-36423 | ID | Yes |
Other names
- Alicia Keithley (Former Name)
Practice location
112 12th Ave RdNampa, ID 83686-5011
Phone 208-465-5433
Mailing address
112 12th Ave RdNampa, ID 83686-5011
Phone 208-630-3780
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