Tara Beck Allen, LISW-CP/AP
Individual provider Active NPI Clinical Social Worker · Simpsonville, SC
NPI 1437477478 · NPPES record last updated May 14, 2010
Key facts
- NPI
- 1437477478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4817 (SC)
- Practice address
- 603 Foxhound CT
Simpsonville, SC 29680-6710 - Phone
- (864) 230-5475
- NPI assigned
- May 14, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4817 | SC | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4817 | SC | Yes |
Addresses
Primary practice location
603 Foxhound CT
Simpsonville, SC 29680-6710
Mailing address
PO Box 80194
Simpsonville, SC 29680-0004
Phone (864) 230-5475
Other providers in Simpsonville, SC
- Irina Bratnichenko Alexander
- Sele Aligbe
- Gary W. Allen III
- Michael Allen
- Rachel Caroline Allen
- Telicia Hughes Allen
- Sasha Voncha Alls
- Nirali P Amin
- Jackelyn Nichols Andersen
- Miracle Anderson Gleaton
All providers in Simpsonville, SC · Clinical Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2010. 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.