Healthcare Provider Details

I. General information

NPI: 1467188698
Provider Name (Legal Business Name): MELISSA ALLINGER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISSI ALLINGER MSW, LCSW

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 09/29/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W SPRINGFIELD AVE STE 308
CHAMPAIGN IL
61820-4800
US

IV. Provider business mailing address

201 W SPRINGFIELD AVE STE 308
CHAMPAIGN IL
61820-4800
US

V. Phone/Fax

Practice location:
  • Phone: 217-751-2083
  • Fax: 217-607-1037
Mailing address:
  • Phone: 217-751-2083
  • Fax: 217-607-1037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149.029634
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.107198
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: