Provider Demographics
NPI:1891965182
Name:PEARSON, ALYSON LACEY (LISW)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:LACEY
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:LACEY
Other - Last Name:PROPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 AIRPORT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8231
Mailing Address - Country:US
Mailing Address - Phone:515-292-3023
Mailing Address - Fax:
Practice Address - Street 1:1525 AIRPORT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8231
Practice Address - Country:US
Practice Address - Phone:515-292-3023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06592104100000X
CO319104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker