# ALLISON P. REVENSON, LCSW, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134754872
- **Authorized official:** ALLISON REVENSON LCSW (OWNER)
- **Authorized official phone:** (804) 620-7470

## Contact information

- **Practice address:** 3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
- **Practice address phone:** (804) 620-7470
- **Mailing address:** 3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
- **Mailing address phone:** (804) 620-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020