Provider Demographics
NPI:1235510025
Name:WHITTINGTON, ALLISON (LISW-W)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:LISW-W
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 E RICH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5316
Mailing Address - Country:US
Mailing Address - Phone:614-285-6574
Mailing Address - Fax:
Practice Address - Street 1:434 E RICH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5316
Practice Address - Country:US
Practice Address - Phone:614-285-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1600709-SUPV104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846675Medicaid