Provider Demographics
NPI:1457602054
Name:KITSON, ALLISON A (LICSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:A
Last Name:KITSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BRISTOL DR STE 4
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1917
Mailing Address - Country:US
Mailing Address - Phone:781-436-0195
Mailing Address - Fax:508-297-8240
Practice Address - Street 1:5 BRISTOL DR STE 4
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1917
Practice Address - Country:US
Practice Address - Phone:781-436-0195
Practice Address - Fax:508-297-8240
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1171151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical