ALYSSA HARRISON
NPI 1396300893
Social Worker in Fremont, CA

Q: What is Alyssa Harrison's NPI number?

The NPI number for Alyssa Harrison is 1396300893. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Alyssa Harrison's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Harrison was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2019PECOS Enrolled

39155 LIBERTY ST STE A110, FREMONT, CA 94538(510) 574-2024(510) 574-2001 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alyssa Harrison NPPES

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

ALYSSA HARRISON (NPI 1396300893) is an individual social worker in Fremont, California and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396300893

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameALYSSA HARRISON

Location Address39155 LIBERTY ST STE A110Fremont, CA 94538-1513

Mailing Address39155 Liberty St Ste A110Fremont, CA 94538-1513 · (510) 574-2024 · Fax (510) 574-2001

Phone(510) 574-2024

Fax(510) 574-2001

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 9, 2019

✔ NPI 1396300893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

39155 LIBERTY ST STE A110, Fremont, CA 94538

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Harrison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668947094

PECOS Enrollment IDI20260413003359

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH MARIE GONZALEZ

Case Manager/Care Coordinator