Provider Demographics
NPI:1962025692
Name:STAGGERS, MARY-ANN ALISHA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARY-ANN
Middle Name:ALISHA
Last Name:STAGGERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1148
Mailing Address - Country:US
Mailing Address - Phone:203-747-9231
Mailing Address - Fax:
Practice Address - Street 1:567 VALLEY ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1148
Practice Address - Country:US
Practice Address - Phone:203-747-9231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical