MEDICARE: ALLISON SIBLEY & ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC50077694	DC

General Provider Information

NPI Number	:	1538470307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLISON SIBLEY & ASSOCIATES

Provider Business Mailing Address
First Line	:	4115 WISCONSIN AVENUE NW
Second Line	:	SUITE 107
City	:	WASHINGTON DC
State	:	USA
Zip	:	20010
Country	:	UM
Telephone Number	:	202-244-0535
Fax Number	:

Provider Business Practice Location Address
First Line	:	4115 WISCONSIN AVE NW
Second Line	:	SUITE 107
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2812
Country	:	US
Telephone Number	:	202-244-0535
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	DR. ALLISON BRACKETT SIBLEY
Credential	:	PHD, LICSW
Telephone Number	:	202-244-0535

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	06/28/2010

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