1396020152 NPI number — ALISON CARLA KINSEY L.I.C.S.W.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396020152 NPI number — ALISON CARLA KINSEY L.I.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KINSEY
Provider First Name:
ALISON
Provider Middle Name:
CARLA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.I.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOBBS
Provider Other First Name:
ALISON
Provider Other Middle Name:
CARLA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1396020152
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
123 UNION ST. SUITE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTHAMPTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-224-8242
Provider Business Mailing Address Fax Number:
413-527-3100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 UNION ST. SUITE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-224-8242
Provider Business Practice Location Address Fax Number:
413-527-3100
Provider Enumeration Date:
10/12/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LICSW126138 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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