Provider Demographics
NPI:1497010441
Name:PAWLIK, ALLISON JUNE (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:JUNE
Last Name:PAWLIK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-2912
Mailing Address - Country:US
Mailing Address - Phone:518-691-0732
Mailing Address - Fax:518-691-0732
Practice Address - Street 1:135 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-2912
Practice Address - Country:US
Practice Address - Phone:518-691-0732
Practice Address - Fax:518-691-0732
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker