Allissa Marie Burns-Gilbert, LCSW
Individual provider Active NPI Clinical Social Worker · Tomah, WI
NPI 1053933853 · NPPES record last updated May 14, 2020
Key facts
- NPI
- 1053933853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9132-123 (WI)
- Practice address
- 500 E Veterans St
Tomah, WI 54660-3105 - Phone
- (608) 377-4076
- NPI assigned
- May 14, 2020
- Sex
- Female
- 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 |
|---|---|---|---|
| 9132-123 | WI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9132-123 | WI | Yes |
Addresses
Primary practice location
500 E Veterans St
Tomah, WI 54660-3105
Mailing address
500 E Veterans St
Tomah, WI 54660-3105
Phone (608) 377-4076
Other providers in Tomah, WI
- Jamie Lee Brownfield
- Denelle April Bruce
- Wallace B Brucker
- Belinda Bubbers
- Adam J Bubnich
- Julie Burton
- Aaron M.K. Butler
- Jeanne Elise Button
- Benjamin J. Calebs
- Caitlin Anne Caliri
All providers in Tomah, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2020. 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.