ALYSSA AXELROD LCSW LLC NPI 1154042208

NPI Information

NPI: 1154042208
Provider Name: ALYSSA AXELROD LCSW LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 17 BLAKESLEE RD
WALLINGFORD, CT
ZIP 06492
Phone: (203) 654-5839

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NPI Details

ALYSSA AXELROD LCSW LLC is an adult mental health clinic center in Wallingford, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ALYSSA AXELROD LCSW LLC NPI is 1154042208. The provider is registered as an organization entity type.

The provider's business location address is:

17 BLAKESLEE RD
WALLINGFORD, CT
ZIP 06492-212
Phone: (203) 654-5839

The provider's authorized official is Alyssa Axelrod .
The authorized official title is Owner and has the following contact phone number (203) 654-5839.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 9/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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