Provider Demographics
NPI:1285321950
Name:KISER, ALLISON KENNER (LICSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:KENNER
Last Name:KISER
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 1:2690 CROWNE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5352
Mailing Address - Country:US
Mailing Address - Phone:251-510-9525
Mailing Address - Fax:
Practice Address - Street 1:1855 DATA DR STE 155
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1237
Practice Address - Country:US
Practice Address - Phone:205-982-3586
Practice Address - Fax:205-982-5796
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5250C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical