Provider Demographics
NPI:1740446996
Name:ALLEN, LAURA E (LICSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:E
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1020 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1139
Mailing Address - Country:US
Mailing Address - Phone:603-591-7222
Mailing Address - Fax:
Practice Address - Street 1:1601 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1951
Practice Address - Country:US
Practice Address - Phone:603-591-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker