MEDICARE: ALLISON STAHL 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	34007384A	IN

General Provider Information

NPI Number	:	1275998163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON STAHL LCSW

Provider Business Mailing Address
First Line	:	1701 LIBRARY BLVD STE A
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-1567
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 LIBRARY BLVD
Second Line	:	SUITE A
City	:	GREENWOOD
State	:	IN
Zip	:	46142-1567
Country	:	US
Telephone Number	:	317-881-9923
Fax Number	:

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

Provider Enumeration Date	:	12/21/2015
Last Update Date	:	03/10/2026

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