Provider Demographics
NPI:1104188432
Name:MAGEE, ALISON W (LICSW, MSW)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:W
Last Name:MAGEE
Suffix:
Gender:F
Credentials:LICSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 CRYSTAL HILL TER
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2709
Mailing Address - Country:US
Mailing Address - Phone:781-690-2831
Mailing Address - Fax:
Practice Address - Street 1:85 CRYSTAL HILL TER
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2709
Practice Address - Country:US
Practice Address - Phone:781-690-2831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1049851041C0700X
RIISW019091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical