NPI 1760802482 · live from the CMS NPI Registry
Charles Randall Allen
Social Worker in Tacoma, WA. National Provider Identifier 1760802482, active.
NPI record
| NPI | 1760802482 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 9600 Veterans Dr Sw, A-122-Sw-Bldg 148, Tacoma, WA 98493 |
| Practice phone | 253-583-3178 |
| Enumerated | April 21, 2014 |
| Last updated | March 5, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — (WA) |
| Social Worker, Clinical | 1041C0700X | — (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.