Provider Demographics
NPI:1174976062
Name:GASCA-BACKMAN, ALLISON (LICSW)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:GASCA-BACKMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 MAIN STREET, SUITE 1
Mailing Address - Street 2:PO BOX 3072
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-9991
Mailing Address - Country:US
Mailing Address - Phone:571-749-5958
Mailing Address - Fax:
Practice Address - Street 1:40 HESSELTINE AVE
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-1916
Practice Address - Country:US
Practice Address - Phone:571-749-5958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical