Alissa Haden, RADT, CHW is a
Community Health Worker based in Lake Elsinore, California. Alissa Haden is licensed to practice in California (license number 25-CCHW-00019) and her current practice location is
506 W Graham Ave Ste 106, Lake Elsinore, California. She can be reached at her office (for appointments etc.) via phone at
(888) 638-8457.
NPI number for Alissa Haden is 1548077639 and her current mailing address is 506 W Graham Ave Ste 106, Lake Elsinore, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548077639.
Healthcare Provider's Profile
| Full Name | Alissa Haden |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 506 W Graham Ave Ste 106, Lake Elsinore, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548077639
- Provider Enumeration Date: 12/12/2024
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Alissa Haden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548077639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1587741124 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 172V00000X | Community Health Worker | 25-CCHW-00019 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alissa Haden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alissa Haden, RADT, CHW 506 W Graham Ave Ste 106, Lake Elsinore, CA 92530-3665 Ph: (888) 638-8457 | Alissa Haden, RADT, CHW 506 W Graham Ave Ste 106, Lake Elsinore, CA 92530-3665 Ph: (888) 638-8457 |
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