Provider Demographics
NPI:1174544597
Name:ALLEN, DANIELLE K (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:K
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:K
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:27 SANDY LN
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1310
Mailing Address - Country:US
Mailing Address - Phone:717-348-1697
Mailing Address - Fax:717-953-9576
Practice Address - Street 1:27 SANDY LN
Practice Address - Street 2:SUITE 190
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1310
Practice Address - Country:US
Practice Address - Phone:717-348-1697
Practice Address - Fax:717-953-9576
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical