NPI 1124032685 · live from the CMS NPI Registry
Gwendolyn Allen, LCSW
Social Worker, Clinical in Benton, AR. National Provider Identifier 1124032685, active.
NPI record
| NPI | 1124032685 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6721 Alcoa Rd, Benton, AR 72015 |
| Practice phone | 501-257-6726 |
| Mailing address | 4300 W 7th St, Little Rock, AR 72205 |
| Enumerated | July 28, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 184-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.