NPI 1205564291 · live from the CMS NPI Registry
Shanda Allen
Social Worker, Clinical in Oklahoma City, OK. National Provider Identifier 1205564291, active.
NPI record
| NPI | 1205564291 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 301 W 1-240 Service Road, Oklahoma City, OK 73139 |
| Practice phone | 405-424-7711 |
| Mailing address | 308 Sw 146th St, Oklahoma City, OK 73170 |
| Enumerated | August 9, 2022 |
| Last updated | September 8, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.