Provider Demographics
NPI:1790527893
Name:GARDNER, ALLISON (LSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:GARDNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:
Other - Last Name:GARDNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:5525 COVODE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1997
Mailing Address - Country:US
Mailing Address - Phone:732-690-6129
Mailing Address - Fax:
Practice Address - Street 1:5525 COVODE ST APT 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1997
Practice Address - Country:US
Practice Address - Phone:732-690-6129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical