Provider Demographics
NPI:1255474748
Name:MIZINIAK, ALLISON E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:E
Last Name:MIZINIAK
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 1:701 WASHINGTON ROAD
Mailing Address - Street 2:STE 4
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228
Mailing Address - Country:US
Mailing Address - Phone:412-498-5099
Mailing Address - Fax:
Practice Address - Street 1:701 WASHINGTON RD
Practice Address - Street 2:STE 4
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2023
Practice Address - Country:US
Practice Address - Phone:412-498-5099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0148241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA410999OtherUPMC PROVIDER NUMBER
PA1654724OtherHIGHMARK PROVIDER NUMBER