Healthcare Provider Details

I. General information

NPI: 1396101531
Provider Name (Legal Business Name): JESSICA H ALLEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA HELEN RIGGI LCSW

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 BROADWAY ST STE 7
LANCASTER NY
14086-2456
US

IV. Provider business mailing address

5775 BROADWAY ST STE 7
LANCASTER NY
14086-2456
US

V. Phone/Fax

Practice location:
  • Phone: 716-217-0087
  • Fax:
Mailing address:
  • Phone: 716-217-0087
  • Fax: 716-219-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number087907
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: