Provider Demographics
NPI:1578864609
Name:MACALUSO-JOHNSTONE, ALISON E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:E
Last Name:MACALUSO-JOHNSTONE
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 1:47 COURT DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4357
Mailing Address - Country:US
Mailing Address - Phone:631-425-0474
Mailing Address - Fax:
Practice Address - Street 1:47 COURT DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4357
Practice Address - Country:US
Practice Address - Phone:631-425-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072370-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical