Provider Demographics
NPI:1366693582
Name:GOAD, ALISON LEIGH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:LEIGH
Last Name:GOAD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:LEIGH
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2141 OLD ASHLAND CITY RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4906
Mailing Address - Country:US
Mailing Address - Phone:931-553-8500
Mailing Address - Fax:931-553-8544
Practice Address - Street 1:2141 OLD ASHLAND CITY RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4906
Practice Address - Country:US
Practice Address - Phone:931-553-8500
Practice Address - Fax:931-553-8544
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical