Provider Demographics
NPI:1275306771
Name:HUANG, ALISON (LSW)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HUANG
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 1:150 W EVERGREEN AVE APT G3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3846
Mailing Address - Country:US
Mailing Address - Phone:267-983-7527
Mailing Address - Fax:
Practice Address - Street 1:3501 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3820
Practice Address - Country:US
Practice Address - Phone:215-590-2428
Practice Address - Fax:215-590-3053
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137935104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker