Michelle R Allison

Individual provider Active NPI Social Worker · Canton, OH

NPI 1295214922 · NPPES record last updated Aug 13, 2018

Key facts

NPI
1295214922
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
S.0800250 (OH)
Practice address
1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526
Phone
(330) 956-5936
Fax
(330) 956-5623
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S.0800250OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lenzy Family Institute Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0800250 OH Yes

Addresses

Primary practice location

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526

Mailing address

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526
Phone (330) 956-5936

Other providers in Canton, OH

All providers in Canton, OH · Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.