Provider Demographics
NPI:1942603865
Name:ALLEGRUCCI, ALISHIA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:ALISHIA
Middle Name:
Last Name:ALLEGRUCCI
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 TURKEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18414-8133
Mailing Address - Country:US
Mailing Address - Phone:570-840-0831
Mailing Address - Fax:
Practice Address - Street 1:1021 MOOSIC ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-4550
Practice Address - Country:US
Practice Address - Phone:570-840-0831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131032104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker