Provider Demographics
NPI:1063657534
Name:ALLEN, DEIRDRE S (MSSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEIRDRE
Middle Name:S
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSSW LCSW
Other - Prefix:
Other - First Name:DEIRDRE
Other - Middle Name:S
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8118 RIPPLEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757
Mailing Address - Country:US
Mailing Address - Phone:512-699-6612
Mailing Address - Fax:
Practice Address - Street 1:8118 RIPPLEWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757
Practice Address - Country:US
Practice Address - Phone:512-699-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical