Provider Demographics
NPI:1760644769
Name:SIBLEY, ALLISON BRACKETT (PHD, LICSW)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BRACKETT
Last Name:SIBLEY
Suffix:
Gender:F
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 WISCONSIN AVE NW
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2812
Mailing Address - Country:US
Mailing Address - Phone:202-744-1086
Mailing Address - Fax:202-244-0535
Practice Address - Street 1:4115 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 107
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2812
Practice Address - Country:US
Practice Address - Phone:202-744-1086
Practice Address - Fax:202-244-0535
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500776941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical