Provider Demographics
NPI:1811062284
Name:ALLEMAND, JOHN X (PHD, LICSW, BCD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:X
Last Name:ALLEMAND
Suffix:
Gender:M
Credentials:PHD, LICSW, BCD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 N NORTHLAKE WAY STE 220
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8871
Mailing Address - Country:US
Mailing Address - Phone:253-509-8302
Mailing Address - Fax:253-212-3678
Practice Address - Street 1:927 N NORTHLAKE WAY STE 220
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8871
Practice Address - Country:US
Practice Address - Phone:253-509-8302
Practice Address - Fax:253-212-3678
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA39991041C0700X
NCC0052061041C0700X
CA246741041C0700X, 1041C0700X
ORL128841041C0700X
AZLCSW-201001041C0700X
WALW600607181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8885954Medicare PIN