Provider Demographics
NPI:1811021421
Name:SCHLACHTER, ALLISON RUTH (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:RUTH
Last Name:SCHLACHTER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1918
Mailing Address - Country:US
Mailing Address - Phone:413-322-8112
Mailing Address - Fax:
Practice Address - Street 1:136 DWIGHT RD
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1759
Practice Address - Country:US
Practice Address - Phone:413-565-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1143761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical