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NPI Code Detail

MEDICARE: MS. ANAICA JANELA ALLEN MSW

MEDICARE: MS. ANAICA JANELA ALLEN MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1184002958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANAICA JANELA ALLEN MSW
Provider Business Mailing Address
First Line : 1705 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4825
Country : US
Telephone Number : 347-668-4656
Fax Number :
Provider Business Practice Location Address
First Line : 1705 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4825
Country : US
Telephone Number : 347-452-5306
Fax Number : 347-312-7867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2015
Last Update Date : 04/16/2024

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