| Danielle R Allen Lcsw Llc | |
|
1027 W Rudisill Blvd Ste 210 Fort Wayne IN 46807-2160 | |
| (260) 750-0341 | |
| Not Available |
| Full Name | Danielle R Allen Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1027 W Rudisill Blvd Ste 210, Fort Wayne, Indiana |
| Authorized Official Name and Position | Danielle Renee Allen (OFFICER) |
| Authorized Official Contact | 2607500341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle R Allen Lcsw Llc 11511 Green Holly Cv Fort Wayne IN 46845-2018 Ph: (260) 750-0341 | Danielle R Allen Lcsw Llc 1027 W Rudisill Blvd Ste 210 Fort Wayne IN 46807-2160 Ph: (260) 750-0341 |
| NPI Number | 1013645985 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 1052780715 |
|---|---|
| Medicare Enrollment ID | O20221220001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013645985 | NPI | - | NPPES |
| 1821528878 | Other | IN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle R Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821528878 PECOS PAC ID: 6608204086 Enrollment ID: I20200318000903 |
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