Wellformed AI

NPI 1255463097 · live from the CMS NPI Registry

Sandra Jill Allen, LCSW

Social Worker in Los Angeles, CA. National Provider Identifier 1255463097, active.

NPI record

NPI1255463097 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location11301 Wilshire Blvd Bldg 206, Room 33, Los Angeles, CA 90073
Practice phone310-478-3711
EnumeratedMarch 9, 2007
Last updatedJuly 28, 2023
Sole proprietorNo
Other namesSandra Davidson

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000X16889 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.