Provider Demographics
NPI:1528722253
Name:MUIRHEAD, ALLISON CORRIGAN (LICSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:CORRIGAN
Last Name:MUIRHEAD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OLD DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:WEST BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01585-3057
Mailing Address - Country:US
Mailing Address - Phone:774-766-7993
Mailing Address - Fax:
Practice Address - Street 1:31 OLD DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:WEST BROOKFIELD
Practice Address - State:MA
Practice Address - Zip Code:01585-3057
Practice Address - Country:US
Practice Address - Phone:774-766-7993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1240481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical