Susan Allen, RCSWI
Social Worker, Clinical in Fairfax, VA. Individual provider (NPI-1).
NPI number1154882801
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1154882801
- Entity type
- Individual (NPI-1)
- Name
- Susan Allen
- Credential
- RCSWI
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2019
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904014764 | VA | Yes |
| 1041C0700X | Social Worker, Clinical | ISW13397 | FL |
Practice location
8221 Willow Oaks Corporate Dr Ste 4-420Fairfax, VA 22031-4512
Phone 703-289-7560
Mailing address
3109 S Semoran Blvd Apt 93Orlando, FL 32822-2672
Phone 754-265-0106
Other practice locations
3109 S Semoran Blvd Apt 93
Orlando, FL 32822-2672
Orlando, FL 32822-2672
Phone 754-265-0106
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