MEDICARE: MS. STACI L ALLEN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	40831	TX

General Provider Information

NPI Number	:	1134350705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STACI L ALLEN LCSW

Provider Business Mailing Address
First Line	:	8241 VILLA LAGO DR
Second Line	:	APT. 1112
City	:	FORT WORTH
State	:	TX
Zip	:	76179-2262
Country	:	US
Telephone Number	:	817-690-5627
Fax Number	:

Provider Business Practice Location Address
First Line	:	8241 VILLA LAGO DR
Second Line	:	APT. 1112
City	:	FORT WORTH
State	:	TX
Zip	:	76179-2262
Country	:	US
Telephone Number	:	817-690-5627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2009
Last Update Date	:	10/23/2011

Similar Medicare Providers

1265867063 — BASEM MANKERIOUS PT, DPT
Practice Location Address:

5517 S HULEN ST
FORT WORTH, TX
76132-2262

Practice Phone: 817-439-6200
Practice Fax: 817-439-6211

1750877478 — CORNERSTONE PHYSICAL THERAPY, LLC
Practice Location Address:

5517 S HULEN ST
FORT WORTH, TX
76132-2262

Practice Phone: 817-439-6200
Practice Fax: 817-439-6211

1336687573 — LUKE BALKUN
Practice Location Address:

2262 WESTWOOD RD
N FORT MYERS, FL
33917-2536

Practice Phone: 401-212-7015
Practice Fax: 407-960-3009

1043817422 — PLEDGE RESIDENTIAL CARE
Practice Location Address:

720 FORT HILL RD
GORHAM, ME
04038-2262

Practice Phone: 207-408-7193
Practice Fax: 207-222-0005

1134909211 — CATHERINE MARIE GARCIA BA
Practice Location Address:

5804 BOAT CLUB RD
FORT WORTH, TX
76179-7773

Practice Phone: 817-310-8789
Practice Fax:

1538948013 — KENDRICA DESHAWN ROBERTS LCDC, LPC
Practice Location Address:

2408 SAGAMORE ST
FORT WORTH, TX
76179-1079

Practice Phone: 940-255-7665
Practice Fax: 682-334-7365

Directions to “ MS. STACI L ALLEN LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.