Doctor Name: | ALLEN WARD |
NPI Number: | 1811354582 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 080525 |
Business Practice Address: | 72 Middle Road Collins, NY - 14034 |
Business Phone Number: | 7165322231 |
Business Fax Number: | |
Mailing Address: | 2991 Hillbrook Dr, EDEN |
State: | NY |
Postal Code: | 140571250 |
Phone Number: | 7166802320 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2016 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 080525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |