Provider Demographics
NPI:1730499575
Name:ABORN, ALLYSON I (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:I
Last Name:ABORN
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 1:221 E HARTSDALE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3572
Mailing Address - Country:US
Mailing Address - Phone:914-725-8756
Mailing Address - Fax:914-725-6675
Practice Address - Street 1:221 E HARTSDALE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3572
Practice Address - Country:US
Practice Address - Phone:914-725-8756
Practice Address - Fax:914-725-6675
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR012430-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical