Provider Demographics
NPI:1356534598
Name:DAVIS, ALLISON ANN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ANN
Other - Last Name:PAULIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:760 FALCON HILL TRL
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-8192
Mailing Address - Country:US
Mailing Address - Phone:636-627-1743
Mailing Address - Fax:
Practice Address - Street 1:760 FALCON HILL TRL
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8192
Practice Address - Country:US
Practice Address - Phone:636-627-1743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPSW25731041C0700X
MO20060332491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical