ALYSIA KONKOL LCSW
NPI 1629776752
Social Worker - Clinical in Mishawaka, IN

Active since February 17, 2023
1540 TRINITY PL, MISHAWAKA, IN 46545(574) 272-9000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alysia Konkol Lcsw NPPES

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

ALYSIA KONKOL LCSW (NPI 1629776752) is an individual clinical provider in Mishawaka, Indiana, licensed in Indiana (34007936A) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1629776752
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALYSIA KONKOLCredential: LCSW
Location Address1540 TRINITY PLMishawaka, IN 46545-5006
Mailing Address1540 Trinity PlMishawaka, IN 46545-5006 · (742) 729-0005
Sole ProprietorYes
Enumeration DateFebruary 17, 2023
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1629776752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34007936A
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1540 TRINITY PL, Mishawaka, IN 46545

Other Providers at the Same Location NPPES 20

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

Licensed Vocational Nurse
1540 TRINITY PL
MISHAWAKA, IN 46545
Audiologist
1540 TRINITY PL
MISHAWAKA, IN 46545
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1540 TRINITY PL
MISHAWAKA, IN 46545
Pharmacist (Ambulatory Care)
1540 TRINITY PL
MISHAWAKA, IN 46545
Dietitian, Registered
1540 TRINITY PL
MISHAWAKA, IN 46545
Occupational Therapy Assistant
1540 TRINITY PL
MISHAWAKA, IN 46545
Nurse Practitioner (Psychiatric/Mental Health)
1540 TRINITY PL
MISHAWAKA, IN 46545
Nurse Practitioner (Adult Health)
1540 TRINITY PL
MISHAWAKA, IN 46545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629776752, enumerated as an "individual" on February 17, 2023.

The provider is located at 1540 TRINITY PL MISHAWAKA, IN 46545 and the phone number is (574) 272-9000.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.