MEDICARE: MS. TANGELA DARNITA ALLISON ACSW, CASWCM, C-SWHC

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	104100000X	Social Worker	0000006016	TN
2	1041C0700X	Clinical Social Worker	109754	TX

General Provider Information

NPI Number	:	1184879223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANGELA DARNITA ALLISON ACSW, CASWCM, C-SWHC

Provider Business Mailing Address
First Line	:	4500 S LANCASTER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7167
Country	:	US
Telephone Number	:	214-467-1803
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 S LANCASTER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7167
Country	:	US
Telephone Number	:	214-857-0316
Fax Number	:

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

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	05/08/2026

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