Provider Demographics
NPI:1861737520
Name:WERNER-LIN, ALLISON (PHD, LCSW)
Entity type:Individual
Prefix:PROF
First Name:ALLISON
Middle Name:
Last Name:WERNER-LIN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SUTTON PL
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2102
Mailing Address - Country:US
Mailing Address - Phone:914-924-9637
Mailing Address - Fax:
Practice Address - Street 1:46 SUTTON PL
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2102
Practice Address - Country:US
Practice Address - Phone:914-924-9637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0769301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical