Healthcare Provider Details

I. General information

NPI: 1811416985
Provider Name (Legal Business Name): ALLISON MOSKOWITZ DUGGAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON MOSKOWITZ

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 PARK AVE
TRUMBULL CT
06611-3463
US

IV. Provider business mailing address

5520 PARK AVE
TRUMBULL CT
06611-3463
US

V. Phone/Fax

Practice location:
  • Phone: 929-457-1330
  • Fax:
Mailing address:
  • Phone: 929-457-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number092960
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12248
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: