Provider Demographics
NPI:1578626461
Name:BARBATO, ALLYSON (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:
Last Name:BARBATO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ALLYSON
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:128 WAYPOINT CIR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6261
Mailing Address - Country:US
Mailing Address - Phone:631-389-2853
Mailing Address - Fax:
Practice Address - Street 1:103 E BEAVER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4969
Practice Address - Country:US
Practice Address - Phone:814-409-7744
Practice Address - Fax:814-753-4584
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0754861041C0700X
PACW0188481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical