NPI 1144045758 · live from the CMS NPI Registry
Brandy L Allen
Social Worker in Lewiston, ID. National Provider Identifier 1144045758, active.
NPI record
| NPI | 1144045758 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1706 G St, Lewiston, ID 83501 |
| Practice phone | 208-751-0478 |
| Mailing address | 46987 Highway 95, Lapwai, ID 83540 |
| Enumerated | November 19, 2024 |
| Last updated | November 22, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 8921930 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.