Provider Demographics
NPI:1952461006
Name:COTTON, ALLISON AVERY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:AVERY
Last Name:COTTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W 5TH AVE STE 101I
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4948
Mailing Address - Country:US
Mailing Address - Phone:630-995-9560
Mailing Address - Fax:331-472-4794
Practice Address - Street 1:800 W 5TH AVE STE 101I
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4948
Practice Address - Country:US
Practice Address - Phone:630-995-9560
Practice Address - Fax:331-472-4794
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0099741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical