Provider Demographics
NPI:1336491174
Name:STONE, ALLYSON A (LCSWA, LCASA)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:A
Last Name:STONE
Suffix:
Gender:F
Credentials:LCSWA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-3050
Mailing Address - Country:US
Mailing Address - Phone:207-542-3721
Mailing Address - Fax:
Practice Address - Street 1:1100TUNNEL RD
Practice Address - Street 2:CHARLES GEORGE VA MEDICAL CENTER,
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805
Practice Address - Country:US
Practice Address - Phone:207-542-3721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCASA 2980-A101YA0400X
NCP0072561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)