Provider Demographics
NPI:1124031208
Name:ALLMAN, CAROLYN SUE (LCSW BSW MSSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:SUE
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:LCSW BSW MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9054
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-9054
Mailing Address - Country:US
Mailing Address - Phone:423-467-3600
Mailing Address - Fax:423-467-3696
Practice Address - Street 1:401 HOLSTON DR
Practice Address - Street 2:NOLACHUCKEY MENTAL HEALTH CENTER FRONTIER HEALTH
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743
Practice Address - Country:US
Practice Address - Phone:423-639-1104
Practice Address - Fax:423-636-8365
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLCSW1010104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
3151596OtherMAGELLAN NAVIGATOR
334969OtherVALUEOPTIONS GROUP
TN3922710OtherMEDICAID CROSSO
3151596OtherMAGELLAN SUMMIT
3151596OtherMAGELLAN PINNACLE
TN3920247OtherMEDICAID CROSSO GRP
TN3922716Medicare ID - Type Unspecified
TN3922710OtherMEDICAID CROSSO