| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALISHA A FUINO | 1265195424 | 2023-02-12 |
Alisha A Fuino is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265195424. Registration indicates Alisha A Fuino is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Alisha A Fuino MSW, LCSW, APHSW-C |
| Practice Office Address | 610 N LEBANON ST LEBANON, IN US |
| Practice Office Telephone | 7656800071 |
| Practice Office Fax | 7654360455 |
| Mailing Address | 610 N LEBANON ST LEBANON, IN 460521716 US |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 34009399A
IN |
| 300056823 | MEDICAID | IN |