Provider Demographics
NPI:1164208807
Name:CONNER, ALLISON (LSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CONNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3156
Mailing Address - Country:US
Mailing Address - Phone:303-907-6466
Mailing Address - Fax:
Practice Address - Street 1:132 PHEASANT DR
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-3156
Practice Address - Country:US
Practice Address - Phone:303-907-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136134104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker