NPI 1912906322 · live from the CMS NPI Registry
Vicki Fuller Allen, LISW
Social Worker, Clinical in Lordsburg, NM. National Provider Identifier 1912906322, active.
NPI record
| NPI | 1912906322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 530 De Moss St, Hildago Medical Services, Lordsburg, NM 88045 |
| Practice phone | 575-542-8384 |
| Mailing address | 530 De Moss St, Lordsburg, NM 88045 |
| Enumerated | July 18, 2005 |
| Last updated | March 4, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | I05940 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.