Jessica Lynn Allison, LSESW
Individual provider Active NPI Clinical Social Worker · Lawrence, KS
NPI 1356835532 · NPPES record last updated May 16, 2022
Key facts
- NPI
- 1356835532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 05414 (KS)
- Practice address
- 3320 Peterson Rd Family Psychological Services LLC
Suite 104
Lawrence, KS 66049 - Phone
- (785) 371-1414
- Fax
- (785) 371-4519
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10948 | KS | MD | Social Worker |
| 05414 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychological Services LLC | Current |
Accepting new patients |
Locations
3320 Peterson Rd
Ste 104
Lawrence, KS 66049
Phone (785) 371-1414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05414 | KS | Yes |
| Social Worker | 104100000X | 10948 | KS |
Addresses
Primary practice location
3320 Peterson Rd Family Psychological Services LLC
Suite 104
Lawrence, KS 66049
Mailing address
3320 Peterson Rd Family Psychological Services LLC
Suite 104
Lawrence, KS 66049
Phone (785) 371-1414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201203780A | Medicaid | KS |
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All providers in Lawrence, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2022. 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.