Provider Demographics
NPI:1992549653
Name:FALZONE, ALLISON VERONICA (LMSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:VERONICA
Last Name:FALZONE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:VERONICA
Other - Last Name:MISCIAGNO-BERGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 WHIFFLETREE WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-1116
Mailing Address - Country:US
Mailing Address - Phone:203-609-1670
Mailing Address - Fax:
Practice Address - Street 1:19 WHIFFLETREE WAY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CT
Practice Address - Zip Code:06878-1116
Practice Address - Country:US
Practice Address - Phone:203-609-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9816104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker