Provider Demographics
NPI:1558497339
Name:ALLINSON, MARILYN G (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:G
Last Name:ALLINSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:225 CEDAR HILL STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:508-481-0165
Mailing Address - Fax:508-481-3253
Practice Address - Street 1:225 CEDAR HILL STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-481-0165
Practice Address - Fax:508-481-3253
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10193621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1084490OtherBEACON HEALTH STRATTEGIES
21802-01OtherHARVARD PILGRIM HEALTH CARE
357969OtherTUFTS
P06345OtherBC/BS OF MA
MA906345OtherBCBSMA
958243OtherAETNA
110082005AOtherMA HEALTH
6860OtherFALLON COMMUNITY HEALTH PLAN
MA906345Medicare ID - Type Unspecified