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NPI Code Detail

MEDICARE: JENNIFER R ALLEN LCSW

MEDICARE: JENNIFER R 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 WorkerSW16844FL

General Provider Information

NPI Number : 1821593815
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R ALLEN LCSW
Provider Business Mailing Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 855-743-4273
Fax Number : 855-743-4273
Provider Business Practice Location Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 855-743-4273
Fax Number : 855-743-4273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2018
Last Update Date : 04/15/2020

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Directions to “ JENNIFER R ALLEN LCSW” Practice Location

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