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ALISA JAFFE HOLLERON
NPI 1669697579
Social Worker - Clinical in Evanston, IL

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
232 LEE ST APT F1, EVANSTON, IL 60202(530) 417-2869(916) 933-5051 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alisa Jaffe Holleron NPPES

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

ALISA JAFFE HOLLERON (NPI 1669697579) is an individual clinical provider in Evanston, Illinois, licensed in California (24452) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1669697579
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALISA JAFFE HOLLERON
Location Address232 LEE ST APT F1Evanston, IL 60202-1488
Mailing Address5011 Golden Foothill Pkwy, Suite 6El Dorado Hills, CA 95762-9649 · (916) 933-5011 · Fax (916) 933-5051
Phone(530) 417-2869
Fax(916) 933-5051
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1669697579 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 CA · 24452
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.
232 LEE ST APT F1, Evanston, IL 60202
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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 and accepts Medicare assignment

Alisa Jaffe Holleron is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072929264
PECOS Enrollment IDI20210315000080
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alisa Holleron's NPI number?

The NPI number for Alisa Holleron is 1669697579. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Alisa Holleron located?

Alisa Holleron practices at 232 Lee St Apt F1, Evanston, IL 60202. The listed phone number is (530) 417-2869.

What is Alisa Holleron's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alisa Holleron enrolled in Medicare?

Yes. Alisa Holleron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alisa Holleron was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.