Individual
MRS. ALISA LAVOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2484 N STOKESBERRY PL STE 150, MERIDIAN, ID 83646-6084
(775) 315-5020
Mailing address
4458 E FACETO ST, MERIDIAN, ID 83642-5720
(775) 315-5020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8861710
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010006259
REGENCE BLUE SHIELD
ID
05
—
002269500
—
ID
01
—
88567
BLUE CROSS
ID
Enumeration date
10/18/2021
Last updated
06/19/2025
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