Provider Demographics
NPI:1215273826
Name:WOYTOWICH, ALISON B (LMSW-C)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:B
Last Name:WOYTOWICH
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:B
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3962 3 MILE RD N
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-9164
Mailing Address - Country:US
Mailing Address - Phone:231-360-0053
Mailing Address - Fax:
Practice Address - Street 1:3962 3 MILE RD N
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-9164
Practice Address - Country:US
Practice Address - Phone:231-360-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-31
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076767104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker