Provider Demographics
NPI:1710041843
Name:ALLGEIER, DALE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DALE
Middle Name:
Last Name:ALLGEIER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4937
Mailing Address - Country:US
Mailing Address - Phone:814-455-4009
Mailing Address - Fax:814-455-7715
Practice Address - Street 1:1932 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4937
Practice Address - Country:US
Practice Address - Phone:814-455-4009
Practice Address - Fax:814-455-7715
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW007163L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
421830Medicare ID - Type Unspecified