Provider Demographics
NPI:1164619151
Name:STANTON, ALLISON SUSAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:SUSAN
Last Name:STANTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HILLSIDE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2129
Mailing Address - Country:US
Mailing Address - Phone:973-769-9089
Mailing Address - Fax:
Practice Address - Street 1:8 HILLSIDE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3624
Practice Address - Country:US
Practice Address - Phone:973-769-9089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047709001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical