Active NPIIndividual providerSole proprietor

Alison Petok, LICSW

Social Worker, Clinical in Chestnut Hill, Massachusetts

NPI Number1275192296
Practice location
3 Payson RD, Chestnut Hill, MA 02467-3216
Fax
—
Last updated
May 5, 2025

Alison Petok is a Social Worker, Clinical based in Chestnut Hill, MA. Alison Petok practices in Chestnut Hill, MA and has the professional credentials of LICSW. The NPI Number for Alison Petok is 1275192296 and holds a License No. LC22920 (ME). The current practice location address for Alison Petok is 3 Payson RD, Chestnut Hill, MA 02467-3216 and can be reached out via phone at 410-804-9638.

Provider Profile Details

NPI Number
1275192296
Provider Name
Alison Petok
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
3 Payson RD, Chestnut Hill, MA 02467-3216
Phone Number
410-804-9638
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2019
Last Update Date
May 5, 2025
Certification Date
May 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Payson RD
Chestnut Hill, MA 02467-3216
Zip
02467-3216
Phone Number
410-804-9638
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
3 Payson RD
Chestnut Hill, MA 02467-3216
City
Chestnut Hill
State
MA
Zip
02467-3216
Phone Number
410-804-9638

License Information

License Number (1)
LC22920
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
122759
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alison Petok, LICSW?

The NPI number of Alison Petok, LICSW is 1275192296. It was assigned on June 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Alison Petok, LICSW?

Alison Petok, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC22920.

Where does Alison Petok, LICSW practice?

The practice location is 3 Payson RD, Chestnut Hill, MA 02467-3216. The office can be reached at 410-804-9638 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275192296 directly on the NPPES registry website.

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