Provider Demographics
NPI:1366075715
Name:PEARLMAN SAX, ALLISON (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:PEARLMAN SAX
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 N CHARLES ST
Mailing Address - Street 2:CTW002I
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2601
Mailing Address - Country:US
Mailing Address - Phone:410-617-2331
Mailing Address - Fax:
Practice Address - Street 1:4501 N CHARLES ST
Practice Address - Street 2:CTW002I
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2601
Practice Address - Country:US
Practice Address - Phone:410-617-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD181851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical