Provider Demographics
NPI:1801440078
Name:ALISON TREMBACKI LCSW
Entity type:Organization
Organization Name:ALISON TREMBACKI LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:TREMBACKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-334-9743
Mailing Address - Street 1:14900 LIBRARY LN UNIT 325
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-5395
Mailing Address - Country:US
Mailing Address - Phone:630-334-9743
Mailing Address - Fax:
Practice Address - Street 1:14900 LIBRARY LN UNIT 325
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-5395
Practice Address - Country:US
Practice Address - Phone:630-334-9743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty