Provider Demographics
NPI:1376850768
Name:DYE, ALISON C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:C
Last Name:DYE
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 1:46 JOSEPHINE AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5300
Mailing Address - Country:US
Mailing Address - Phone:845-594-5174
Mailing Address - Fax:845-331-1566
Practice Address - Street 1:138 W 25TH ST
Practice Address - Street 2:8TH FLOOR ROOM B-9
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7405
Practice Address - Country:US
Practice Address - Phone:845-594-5174
Practice Address - Fax:845-331-1566
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0170511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical