Provider Demographics
NPI:1649414087
Name:WALTON, ALLISON JOY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JOY
Last Name:WALTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:JOY
Other - Last Name:KLAYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:11211 TUREEN DR
Mailing Address - Street 2:SAINT LOUIS
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7649
Mailing Address - Country:US
Mailing Address - Phone:314-994-7343
Mailing Address - Fax:
Practice Address - Street 1:11211 TUREEN DR
Practice Address - Street 2:SAINT LOUIS
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7649
Practice Address - Country:US
Practice Address - Phone:314-994-7343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040124391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical