Healthcare Provider Details

I. General information

NPI: 1497310254
Provider Name (Legal Business Name): ALLISON BARLOW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MAIDEN LN
KINGSTON NY
12401-5025
US

IV. Provider business mailing address

8 MAIDEN LN
KINGSTON NY
12401-5025
US

V. Phone/Fax

Practice location:
  • Phone: 845-204-3946
  • Fax:
Mailing address:
  • Phone: 845-238-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number087321
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: