IndividualActive
Alyse Moulton, LCSW
NPI 1922720523 · Social Worker · Albuquerque, NM
Provider details
- NPI number
- 1922720523
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SWB-2022-0251 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1900 Randolph Rd Se
Albuquerque, NM 87106-4247
Phone: (505) 750-4547
Approximate (ZIP-level) locationGet directions
Mailing address
1321 E Poplar St
Deming, NM 88030-4807
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.