Provider Demographics
NPI:1023260114
Name:CONNOR, ALLISON JOY (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JOY
Last Name:CONNOR
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PLEASANT PL
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-2117
Mailing Address - Country:US
Mailing Address - Phone:631-512-6694
Mailing Address - Fax:
Practice Address - Street 1:50 LASER CT
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-3958
Practice Address - Country:US
Practice Address - Phone:631-853-2274
Practice Address - Fax:631-853-2350
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NY0468561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator