Provider Demographics
NPI:1881171866
Name:PASTIRIK, ALLISON MEREDITH (LCSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MEREDITH
Last Name:PASTIRIK
Suffix:
Gender:F
Credentials:LCSW, LISW-CP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MEREDITH
Other - Last Name:MCPHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2764 PLEASANT RD.
Mailing Address - Street 2:STE A PMB 10340
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708
Mailing Address - Country:US
Mailing Address - Phone:704-390-2789
Mailing Address - Fax:
Practice Address - Street 1:2764 PLEASANT RD.
Practice Address - Street 2:STE A PMB 10340
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708
Practice Address - Country:US
Practice Address - Phone:704-390-2789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0133911041C0700X
SC166951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical