Carol M Allan, MSW, LCSW, DCSW
Individual provider Active NPI Clinical Social Worker · Brookfield, WI
NPI 1477650604 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1477650604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 963123 (WI)
- Practice address
- 675 N Brookfield Rd Ste 103
Suburban Counseling Services
Brookfield, WI 53045-5858 - Phone
- (262) 391-4892
- Fax
- (262) 789-8759
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 963123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Counseling Services LLC | Past |
Accepting new patients | |
| Suburban Counseling Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 963123 | WI | Yes |
Addresses
Primary practice location
675 N Brookfield Rd Ste 103
Suburban Counseling Services
Brookfield, WI 53045-5858
Mailing address
675 N Brookfield Rd Ste 103
Suburban Counseling Services
Brookfield, WI 53045-5858
Phone (262) 391-4892
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000044386 | Other | WI | MEDICARE PROVIDER ID#: |
Other providers in Brookfield, WI
- Aleksandar Rosich MD Inc
- Shakeija Alexander
- Alka Kohli, SC
- All American Home Health Care LLC
- All for 1 Inc
- Tammy Kay Allar
- Julie Ann Allard
- Allay Home and Hospice, Inc.
- Allay Palliative Care Inc
- Scott G Allen
All providers in Brookfield, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. 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.