Provider Demographics
NPI:1831776236
Name:SIERSDALE, ALISON CURRANS (LICSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:CURRANS
Last Name:SIERSDALE
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 1:54 PRENTISS ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2918
Mailing Address - Country:US
Mailing Address - Phone:712-251-9177
Mailing Address - Fax:
Practice Address - Street 1:54 PRENTISS ST APT 1
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2918
Practice Address - Country:US
Practice Address - Phone:712-251-9177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1234841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical