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ALYSSA MAE KOKTAVY ISRAEL MSW, LGSW
NPI 1063208171
Social Worker - School in Cook, MN

Active since April 16, 2025
10248 E OLSON RD, COOK, MN 55723(218) 666-5221 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alyssa Mae Koktavy Israel Msw, Lgsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA MAE KOKTAVY ISRAEL MSW, LGSW (NPI 1063208171) is an individual school provider in Cook, Minnesota, licensed in Minnesota (34288) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063208171
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameALYSSA MAE KOKTAVY ISRAELCredential: MSW, LGSW
Location Address10248 E OLSON RDCook, MN 55723-8184
Mailing Address116 12th St SVirginia, MN 55792-2918 · (507) 581-2510
Phone(218) 666-5221
Sole ProprietorYes
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1063208171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in MN · 34288
10248 E OLSON RD, Cook, MN 55723
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Israel's NPI number?

The NPI number for Alyssa Israel is 1063208171. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Alyssa Israel located?

Alyssa Israel practices at 10248 E Olson Rd, Cook, MN 55723. The listed phone number is (218) 666-5221.

What is Alyssa Israel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Alyssa Israel was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.