Provider Demographics
NPI:1699158774
Name:JOST, ALISON (LICSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:JOST
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:JOST
Other - Last Name:FENGHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:95 CIRCULAR AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-4004
Mailing Address - Country:US
Mailing Address - Phone:203-288-6253
Mailing Address - Fax:
Practice Address - Street 1:950 WARREN AVE STE 104
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1432
Practice Address - Country:US
Practice Address - Phone:401-606-3711
Practice Address - Fax:401-606-3712
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW026501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical