MEDICARE: ALLISON S. KENT 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1184256810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON S. KENT LCSW

Provider Business Mailing Address
First Line	:	11635 GERALD AVE
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-2928
Country	:	US
Telephone Number	:	818-943-4761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CHESTNUT ST STE 2820
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:	818-943-4761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	10/08/2024

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