Marian Allen, LMSW
Individual provider Active NPI Clinical Social Worker · Hattiesburg, MS
NPI 1043615313 · NPPES record last updated Oct 29, 2014
Key facts
- NPI
- 1043615313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- M5242 (MS)
- Practice address
- 4100 Mamie St
Hattiesburg, MS 39402-1735 - Phone
- (601) 705-1906
- NPI assigned
- Oct 29, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5242 | MS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M5242 | MS | Yes |
Addresses
Primary practice location
4100 Mamie St
Hattiesburg, MS 39402-1735
Mailing address
110 Patton Ave
Hattiesburg, MS 39401-6155
Phone (601) 582-1111
Other providers in Hattiesburg, MS
- Yasir Ali
- Align and Thrive Wellness, PLLC
- Mohammed Noori Hameed Alkhulaifawi
- Allcare Medical Equipment and Supplies
- Lawanda Allen
- Nicholias Allen
- Pennie Lee Allen
- Alliance Health Solutions
- E.V. Allison
- Sean C Allison
All providers in Hattiesburg, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.