Provider Demographics
NPI:1295909729
Name:SMITH-HOLNESS, ALLISON HALL (LCSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:HALL
Last Name:SMITH-HOLNESS
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 1:9107 DRAKE PL
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-4011
Mailing Address - Country:US
Mailing Address - Phone:301-935-2988
Mailing Address - Fax:
Practice Address - Street 1:21 GOVERNORS CT
Practice Address - Street 2:SUITE 100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2722
Practice Address - Country:US
Practice Address - Phone:410-277-0513
Practice Address - Fax:410-277-8973
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13737104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker