Provider Demographics
NPI:1922447259
Name:D'ADDIO, ALYSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:D'ADDIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:
Other - Last Name:D'ADDIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9070 KIMBERLY BLVD
Mailing Address - Street 2:SUITE 50
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-2855
Mailing Address - Country:US
Mailing Address - Phone:561-852-0910
Mailing Address - Fax:561-852-0960
Practice Address - Street 1:9070 KIMBERLY BLVD
Practice Address - Street 2:SUITE 50
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-2855
Practice Address - Country:US
Practice Address - Phone:561-852-0910
Practice Address - Fax:561-852-0960
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW71251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical