| Laura L Allman Lcsw Ltd | |
|
1421 Greenmount St Rockford IL 61107-3027 | |
| (815) 961-9166 | |
| (815) 964-5216 |
| Full Name | Laura L Allman Lcsw Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 1421 Greenmount St, Rockford, Illinois |
| Authorized Official Name and Position | Laura L Allman (OWNER) |
| Authorized Official Contact | 8159619166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura L Allman Lcsw Ltd 1421 Greenmount St Rockford IL 61107-3027 Ph: (815) 961-9166 | Laura L Allman Lcsw Ltd 1421 Greenmount St Rockford IL 61107-3027 Ph: (815) 961-9166 |
| NPI Number | 1275712077 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 11/19/2007 |
| Medicare PECOS PAC ID | 4385690171 |
|---|---|
| Medicare Enrollment ID | O20050324000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275712077 | NPI | - | NPPES |
| 513906 | Other | IL | VALUEOPTIONS |
| 10132090 | Other | IL | BCBS OF IL |
| 2145319 | Other | IL | CIGNA |
| 60054 | Other | IL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Provider Name | Laura L Allman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881661023 PECOS PAC ID: 2769478361 Enrollment ID: I20040421000192 |
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