Gwendolyn Allen, LCSW
Individual provider Active NPI Clinical Social Worker · Benton, AR
NPI 1124032685 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124032685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 184-C (AR)
- Practice address
- 6721 Alcoa Rd
Benton, AR 72015-9702 - Phone
- (501) 257-6726
- Fax
- (501) 257-6763
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 184-C | AR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 184-C | AR | Yes |
Addresses
Primary practice location
6721 Alcoa Rd
Benton, AR 72015-9702
Mailing address
4300 W 7TH St
Little Rock, AR 72205-5446
Phone (501) 257-6726
Other providers in Benton, AR
- Bethany Alexander
- Carla Alexander
- Jerika Alford
- All Things Renewed Counseling & Supervision LLP
- Allan B. Hatch, M.D., P.a.
- Sarah Wilkinson Allen
- Valyncia Allen
- Victoria Michelle Allen
- William Allen
- Alliant Behavioral Health LLC
All providers in Benton, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.