NPI 1962492355 · live from the CMS NPI Registry
Johnny Allen, MSW
Social Worker in Shiprock, NM. National Provider Identifier 1962492355, active.
NPI record
| NPI | 1962492355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | Us Hwy 491 North, Shiprock, NM 87420 |
| Practice phone | 505-368-6401 |
| Mailing address | Po Box 160, Shiprock, NM 87420 |
| Enumerated | October 26, 2005 |
| Last updated | May 20, 2008 |
| Sole proprietor | No |
| Other names | Johnnie Allen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | M3754 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.