Provider Demographics
NPI:1225192867
Name:ALLAN-WILSON, MARGARET SUMMER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:SUMMER
Last Name:ALLAN-WILSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:ALLAN
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 2498
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-7498
Mailing Address - Country:US
Mailing Address - Phone:903-681-4871
Mailing Address - Fax:
Practice Address - Street 1:600 S PALESTINE ST
Practice Address - Street 2:# 201
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3310
Practice Address - Country:US
Practice Address - Phone:903-681-4871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0097JWOtherBCBS
TX160967901Medicaid
TX125690OtherSUPERIOR