Allison P Revenson in Glen Allen - Clinical
Allison P Revenson - NPI 1689787392
Allison P Revenson is a Clinical in Glen Allen, Virginia. Allison P Revenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Allison P Revenson is 1689787392. The last update date is 2007-07-08.
Allison P Revenson's current location address is 5213 Hickory Park Drive, Glen Allen, Virginia. You can contact this provider via phone number 8042378030 and fax number 8047308028. The mailing address for Allison P Revenson is 5213 Hickory Park Drive, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allison P Revenson |
|---|---|
| Address | 5213 Hickory Park Drive, Glen Allen, Virginia |
| Phone Number | 8042378030 |
| Fax Number | 8047308028 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1689787392 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5213 Hickory Park Drive |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 23059 |
| Phone Number | 8042378030 |
| Fax Number | 8047308028 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904001651 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31547 | VA | VALUE OPTIONS | |
| 147178 | VA | ANTHEM BCBS | |
| 2080448 | VA | CIGNA |
Post Comment/ Review Below
What is the Allison P Revenson's unique identification number?
The Allison P Revenson has been assigned the NPI (National Provider Identifier) Number 1689787392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Allison P Revenson is geographically located?
The Allison P Revenson is physically situated at the following location: 5213 Hickory Park Drive, Glen Allen, VA, 23059.
What is the Allison P Revenson's area of specialization and corresponding taxonomy classification?
The Allison P Revenson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Allison P Revenson receive its 1689787392 assignment from the Centers for Medicare & Medicaid Services?
The Allison P Revenson was assigned its 1689787392 by the Centers for Medicare & Medicaid Services on 2006-08-16.
When was the information related to Allison P Revenson most recently updated or refreshed?
The details pertaining to the Allison P Revenson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.