Individual
BEVERLY L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
645A N MAIN ST, DANIELSON, CT 06239-2108
(860) 779-2122
(860) 779-2123
Mailing address
27 PATRIOTS SQ, MANSFIELD CENTER, CT 06250-1517
(860) 456-1770
(860) 779-2122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002718
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079437
MHN
CT
01
—
1043604
CIGNA 03
CT
01
—
11230415
MULTIPLAN 03
CT
01
—
134345
VALUE OPTIONS 03
CT
01
—
244533
MAGELLAN, CLINICAL SOCIAL
CT
01
—
OOO7666432
AETNA
CT
01
—
P2806130
OXFORD
CT
Enumeration date
07/19/2006
Last updated
07/08/2007
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