Provider Demographics
NPI:1558439075
Name:ALLMAN, RANDY SCOTT (LISW-S)
Entity Type:Individual
Prefix:MR
First Name:RANDY
Middle Name:SCOTT
Last Name:ALLMAN
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2327
Mailing Address - Country:US
Mailing Address - Phone:513-833-6546
Mailing Address - Fax:
Practice Address - Street 1:423 OHIO AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-2327
Practice Address - Country:US
Practice Address - Phone:513-677-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0030060104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker