Provider Demographics
NPI:1992582886
Name:MADDEN, ALLISON (ACSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MADDEN
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N WESTLAKE AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-7459
Mailing Address - Country:US
Mailing Address - Phone:732-979-1461
Mailing Address - Fax:
Practice Address - Street 1:1212 N VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1769
Practice Address - Country:US
Practice Address - Phone:310-953-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical