Provider Demographics
NPI:1710132352
Name:LARGER, ALLISON M (LCSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:LARGER
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 1:28-A HILL RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-335-9909
Mailing Address - Fax:973-335-9910
Practice Address - Street 1:28-A HILL RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-335-9909
Practice Address - Fax:973-335-9910
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2023-02-06
Deactivation Date:2012-03-23
Deactivation Code:
Reactivation Date:2023-02-06
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053253001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical