National Provider Identifier
Jeremy Peter Allen, LCSW
Jeremy Peter Allen, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 893-0062.
Profile Overview
- NPI
- 1487704508
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 11, 2007
- Last Updated
- May 27, 2011
Practice Location
- 463 William Street
- Buffalo, NY 14204-1811
Phone: (716) 893-0062
Mailing Address
- 1526 Walden Avenue
- Suite 400
- Cheektowaga, NY 14225-4985
Specialties
- Clinical Social Worker (1041C0700X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1487704508
- Entity Type
- Individual
- Last Name
- Allen
- First Name
- Jeremy
- Middle Name
- Peter
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 1526 Walden Avenue
- Mailing Address Line 2
- Suite 400
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4985
- Mailing Country
- US
- Mailing Phone
- (716) 895-7167
- Mailing Fax
- (716) 332-4488
- Practice Street Address
- 463 William Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1811
- Practice Country
- US
- Practice Phone
- (716) 893-0062
- Practice Fax
- (716) 893-0070
- Enumeration Date
- January 11, 2007
- Last Updated
- May 27, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)