Alison Petok, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122759 Issued in MA

Practice address

3 Payson Rd
Chestnut Hill, MA 02467-3216

Phone

(410) 804-9638

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1275192296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PAYSON RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673216",
            "telephone_number": "410-804-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PAYSON RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673216",
            "telephone_number": "410-804-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETOK",
        "first_name": "ALISON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC22920",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azure Pellegrino, BCBA
• Dominic D Pennachio, M.D.
• Ana Perez Lugones, PTA
• Perico, PC
• Personalized Medical Care LLC
• Van Pham, MD
• Ingrid L Philemond, NURSE PRACTITIONER
• Philip Triffletti MD PLLC
• Physicians Eye Care, LLC.
• Clare Pierret

• Clinical Social Worker in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.