Donald L Allbaugh, LCSW

Individual provider Active NPI Clinical Social Worker · Anderson, IN

NPI 1962560904 · NPPES record last updated Jun 19, 2015

Key facts

NPI
1962560904
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
431 W 9TH St
Anderson, IN 46016-1317
Phone
(765) 649-2234
NPI assigned
Dec 4, 2006
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

431 W 9TH St
Anderson, IN 46016-1317

Mailing address

431 W 9TH St
Anderson, IN 46016-1317
Phone (765) 649-2234

Other identifiers

IdentifierTypeStateIssuer
000000228217OtherINANTHEM

Other providers in Anderson, IN

All providers in Anderson, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.