Individual
MS. ALLISON GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 GARDEN ST, RHINEBECK, NY 12572
(845) 399-6473
Mailing address
270 ROUTE 308, RHINEBECK, NY 12572-2321
(845) 418-4756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
069040
NY
1041C0700X
Clinical Social Worker
Primary
R076124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03321895
—
NY
01
—
069040
LICENSE #:
NY
Enumeration date
09/14/2006
Last updated
08/22/2018
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