Provider Demographics
NPI:1902973134
Name:WILLIAMS-MCCORVEY, ALISHA MARTA (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:MARTA
Last Name:WILLIAMS-MCCORVEY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SCARSDALE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-6347
Mailing Address - Country:US
Mailing Address - Phone:845-225-1175
Mailing Address - Fax:
Practice Address - Street 1:2037 ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1148
Practice Address - Country:US
Practice Address - Phone:914-629-0540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR053424-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical