Provider Demographics
NPI:1801580014
Name:SMECK, ALLISON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:SMECK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 SW 6TH AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-1345
Mailing Address - Country:US
Mailing Address - Phone:503-334-3035
Mailing Address - Fax:
Practice Address - Street 1:811 SW 6TH AVE STE 1000
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1345
Practice Address - Country:US
Practice Address - Phone:503-334-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL160191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical