Provider Demographics
NPI:1255147526
Name:NIELSEN-BRYANT, ALISON EVANSON (LMSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:EVANSON
Last Name:NIELSEN-BRYANT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:EVANSON
Other - Last Name:NIELSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:16850 OLENA POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-5435
Mailing Address - Country:US
Mailing Address - Phone:907-441-7747
Mailing Address - Fax:
Practice Address - Street 1:8717 DIMOND D CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-1931
Practice Address - Country:US
Practice Address - Phone:907-771-0536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK215542104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker