Lasara Firefox Allen, MSW
Individual provider Active NPI Social Worker · Ukiah, CA
NPI 1104595404 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1104595404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 280 E Standley St
Ukiah, CA 95482-4414 - Phone
- (707) 466-0001
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Center for Human Growth | Current | Accepting new patients | |
| Pacific Center for Human Growth | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
280 E Standley St
Ukiah, CA 95482-4414
Mailing address
280 E Standley St
Ukiah, CA 95482-4414
Phone (707) 466-0001
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. 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.