NPI 1679114136 · live from the CMS NPI Registry
Trever Jaymes Allcock, LCSW
Social Worker, Clinical in Appleton, WI. National Provider Identifier 1679114136, active.
NPI record
| NPI | 1679114136 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 320 S. Walnut St., Appleton, WI 54911 |
| Practice phone | 920-832-5270 |
| Enumerated | October 4, 2019 |
| Last updated | December 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — (WI) |
| Social Worker, Clinical | 1041C0700X | 11469-123 (WI) |
| Social Worker, Clinical primary | 1041C0700X | 11488-123 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.