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NPI Code Detail

MEDICARE: MS. JESSICA H ALLEN LCSW

MEDICARE: MS. JESSICA H 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
11041C0700XClinical Social Worker087907NY

General Provider Information

NPI Number : 1396101531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA H ALLEN LCSW
Provider Business Mailing Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-291-0059
Fax Number : 716-242-7981
Provider Business Practice Location Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-291-0059
Fax Number : 716-242-7981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 04/09/2026

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