Healthcare Provider Details

I. General information

NPI: 1871073973
Provider Name (Legal Business Name): ALLISON WARE LBSW, LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON RUTHERFORD/AMES LBSW

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W LAKE LANSING RD STE 200
EAST LANSING MI
48823-8661
US

IV. Provider business mailing address

4021 N EUCLID AVE # 1003
BAY CITY MI
48706-2406
US

V. Phone/Fax

Practice location:
  • Phone: 989-394-3742
  • Fax:
Mailing address:
  • Phone: 989-394-3742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5176
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801101255
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: