Provider Demographics
NPI:1437048113
Name:STERTZER, ALLISON EMMA (LCSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:EMMA
Last Name:STERTZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CHRISTOPHER TOPPI DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-6901
Mailing Address - Country:US
Mailing Address - Phone:207-870-9720
Mailing Address - Fax:
Practice Address - Street 1:28 CHRISTOPHER TOPPI DR
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-6901
Practice Address - Country:US
Practice Address - Phone:207-870-9720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009924530104100000X
MELC248141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker