| Allison P. Revenson, Lcsw, Pllc | |
|
3900 Westerre Pkwy Ste 300 Richmond VA 23233-1339 | |
| (804) 620-7470 | |
| Not Available |
| Full Name | Allison P. Revenson, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3900 Westerre Pkwy Ste 300, Richmond, Virginia |
| Authorized Official Name and Position | Allison Revenson (OWNER) |
| Authorized Official Contact | 8046207470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison P. Revenson, Lcsw, Pllc 3900 Westerre Pkwy Ste 300 Richmond VA 23233-1339 Ph: (804) 620-7470 | Allison P. Revenson, Lcsw, Pllc 3900 Westerre Pkwy Ste 300 Richmond VA 23233-1339 Ph: (804) 620-7470 |
| NPI Number | 1134754872 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Medicare PECOS PAC ID | 7618399775 |
|---|---|
| Medicare Enrollment ID | O20200617002730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134754872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allison P Revenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689787392 PECOS PAC ID: 5193741882 Enrollment ID: I20051021000440 |
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