Crisetta Allen, FP
Individual provider Active NPI Social Worker · Phoenix, AZ
NPI 1114079290 · NPPES record last updated Oct 16, 2015
Key facts
- NPI
- 1114079290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 4449 N 12TH St
Phoenix, AZ 85014-4520 - Phone
- (602) 279-1427
- Fax
- (602) 279-1431
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| Human Services Consultants | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
4449 N 12TH St
Phoenix, AZ 85014-4520
Mailing address
PO Box 16906
Phoenix, AZ 85011-6906
Phone (602) 279-1427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 861018494 | Other | AZ | THERP FOSTER CARE |
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2015. 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.