Provider Demographics
NPI:1891679783
Name:CLASCA, ALEXIS (LICSW)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:CLASCA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PRISCILLA AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-3507
Mailing Address - Country:US
Mailing Address - Phone:415-571-1386
Mailing Address - Fax:
Practice Address - Street 1:17 PRISCILLA AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-3507
Practice Address - Country:US
Practice Address - Phone:415-571-1386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPENDING1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical