NPI 1477650604 · live from the CMS NPI Registry
Carol M Allan, MSW, LCSW, DCSW
Social Worker, Clinical in Brookfield, WI. National Provider Identifier 1477650604, active.
NPI record
| NPI | 1477650604 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 675 N Brookfield Rd Ste 103, Suburban Counseling Services, Brookfield, WI 53045 |
| Practice phone | 262-391-4892 |
| Enumerated | September 20, 2006 |
| Last updated | April 23, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 963123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.