Provider Demographics
NPI:1497204580
Name:WARSHAW, ALLYSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:WARSHAW
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 1:333 DR MICHAEL DEBAKEY DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5888
Mailing Address - Country:US
Mailing Address - Phone:337-478-9331
Mailing Address - Fax:
Practice Address - Street 1:333 DR MICHAEL DEBAKEY DR STE 220
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5888
Practice Address - Country:US
Practice Address - Phone:337-478-9331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA123931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical