Provider Demographics
NPI:1376199984
Name:STEVELMAN, ALISON WILLIAMS (LCSW)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:WILLIAMS
Last Name:STEVELMAN
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 1:3 PEACEABLE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10590-1503
Mailing Address - Country:US
Mailing Address - Phone:646-712-0734
Mailing Address - Fax:
Practice Address - Street 1:3 PEACEABLE ST
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590-1503
Practice Address - Country:US
Practice Address - Phone:646-712-0734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-11
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health