Provider Demographics
NPI:1881469427
Name:ALLISON, DANIEL BRIAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BRIAN
Last Name:ALLISON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-2618
Mailing Address - Country:US
Mailing Address - Phone:508-277-7851
Mailing Address - Fax:
Practice Address - Street 1:51 UNION ST STE 222
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1147
Practice Address - Country:US
Practice Address - Phone:508-635-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW230135104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker