Provider Demographics
NPI:1518187418
Name:KANAREK, ALLISON BROOKE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BROOKE
Last Name:KANAREK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 PARK AVE
Mailing Address - Street 2:APT. #8
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4156
Mailing Address - Country:US
Mailing Address - Phone:917-686-8446
Mailing Address - Fax:
Practice Address - Street 1:842 PARK AVE
Practice Address - Street 2:APT. #8
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4156
Practice Address - Country:US
Practice Address - Phone:917-686-8446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053077001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical