Provider Demographics
NPI:1578705398
Name:PRINGLE-BENNETT, ALLISON WARD (LMSW-CC)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:WARD
Last Name:PRINGLE-BENNETT
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 WESTBROOK ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH THOMASTON
Mailing Address - State:ME
Mailing Address - Zip Code:04858-3015
Mailing Address - Country:US
Mailing Address - Phone:207-594-7375
Mailing Address - Fax:
Practice Address - Street 1:183 WESTBROOK ST
Practice Address - Street 2:
Practice Address - City:SOUTH THOMASTON
Practice Address - State:ME
Practice Address - Zip Code:04858-3015
Practice Address - Country:US
Practice Address - Phone:207-594-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC114971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical