Provider Demographics
NPI:1619035714
Name:TODD, ALISON OWEN (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:OWEN
Last Name:TODD
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01098-0373
Mailing Address - Country:US
Mailing Address - Phone:413-584-6464
Mailing Address - Fax:413-238-5810
Practice Address - Street 1:78 MAIN ST
Practice Address - Street 2:STE 209
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3111
Practice Address - Country:US
Practice Address - Phone:413-584-6464
Practice Address - Fax:413-238-5810
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1131341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical