Provider Demographics
NPI:1497764906
Name:ALLSBROOK, B ALISON (LCSW)
Entity Type:Individual
Prefix:
First Name:B
Middle Name:ALISON
Last Name:ALLSBROOK
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 1:3716 MELROSE AVENUE, NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017
Mailing Address - Country:US
Mailing Address - Phone:540-362-0360
Mailing Address - Fax:540-366-0429
Practice Address - Street 1:3716 MELROSE AVENUE, NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017
Practice Address - Country:US
Practice Address - Phone:540-362-0360
Practice Address - Fax:540-366-0429
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040017661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
083900OtherSENTARA/SOUTHERN HEALTH
228268000OtherMAGELLAN
3121131OtherMAMSI/MDIPA
541925036OtherUHC/UBH
VA8938148OtherVA PREMIER
VA008917183Medicaid
2164753OtherCIGNA
7769008OtherAETNA
232250OtherVALUE OPTIONS
395229OtherANTHEM/ANTHEM HEALTHKEEP