Provider Demographics
NPI:1437525094
Name:MCCONNELL PIERACCINI, ALLISON
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:MCCONNELL PIERACCINI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ALLISON
Other - Middle Name:TARA MCCONNELL
Other - Last Name:PIERACCINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5926 MONTE VERDE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95409-3926
Mailing Address - Country:US
Mailing Address - Phone:707-934-5837
Mailing Address - Fax:
Practice Address - Street 1:5926 MONTE VERDE DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95409-3926
Practice Address - Country:US
Practice Address - Phone:707-934-5837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA259861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical