Provider Demographics
NPI:1386448694
Name:GONZALEZ, ALLISON (LCSW, DSW)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:LCSW, DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 BLUEBIRD VW UNIT 2302
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2270
Mailing Address - Country:US
Mailing Address - Phone:508-735-8550
Mailing Address - Fax:
Practice Address - Street 1:2000 BLUEBIRD VW UNIT 2302
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2270
Practice Address - Country:US
Practice Address - Phone:508-735-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126236101Y00000X
DEQI-0001524101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor