Provider Demographics
NPI:1912669672
Name:RANSDELL, ALLYSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:RANSDELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:
Other - Last Name:GIBELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3809 AMELIA ROSE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-4019
Mailing Address - Country:US
Mailing Address - Phone:978-697-6083
Mailing Address - Fax:
Practice Address - Street 1:3809 AMELIA ROSE WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-4019
Practice Address - Country:US
Practice Address - Phone:978-697-6083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA955461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical