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NPI Code Detail

MEDICARE: MRS. ROBERTA ALLEN LCSW

MEDICARE: MRS. ROBERTA ALLEN 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
11041C0700XClinical Social Worker149.015417IL
21041C0700XClinical Social WorkerI.2203986OH
31041C0700XClinical Social Worker0904014606VA

General Provider Information

NPI Number : 1730437179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBERTA ALLEN LCSW
Provider Business Mailing Address
First Line : 1701 MERCY HEALTH PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6147
Country : US
Telephone Number : 513-853-8520
Fax Number :
Provider Business Practice Location Address
First Line : 1701 MERCY HEALTH PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6147
Country : US
Telephone Number : 513-853-8520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 02/08/2024

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Directions to “ MRS. ROBERTA ALLEN LCSW” Practice Location

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