Provider Demographics
NPI:1972187367
Name:GROSS, ALLISON (LMSW-C)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:GROSS
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:WOIDERSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4981 LONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-9116
Mailing Address - Country:US
Mailing Address - Phone:231-818-5901
Mailing Address - Fax:
Practice Address - Street 1:10823 N STRAITS HWY STE B
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-9077
Practice Address - Country:US
Practice Address - Phone:231-818-5901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical