NPI 1659500882 · live from the CMS NPI Registry
Mary Allen, LCSW
Social Worker, Clinical in Stoughton, WI. National Provider Identifier 1659500882, active.
NPI record
| NPI | 1659500882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 113 E Main St, Stoughton, WI 53589 |
| Practice phone | 608-449-7201 |
| Enumerated | July 9, 2009 |
| Last updated | April 9, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 8198-123 (WI) |
| Social Worker, Clinical primary | 1041C0700X | LCS29109 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.