Provider Demographics
NPI:1083078299
Name:CAMUSO, ALISSIA MARY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALISSIA
Middle Name:MARY
Last Name:CAMUSO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-1413
Mailing Address - Country:US
Mailing Address - Phone:814-590-4253
Mailing Address - Fax:
Practice Address - Street 1:427 PARKER ST
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-1413
Practice Address - Country:US
Practice Address - Phone:814-590-4253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129747104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker