Provider Demographics
NPI:1912653569
Name:MOYEL, ALLISON D (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:D
Last Name:MOYEL
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 OAK BLUFF WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7138
Mailing Address - Country:US
Mailing Address - Phone:561-386-9505
Mailing Address - Fax:
Practice Address - Street 1:6215 OAK BLUFF WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7138
Practice Address - Country:US
Practice Address - Phone:561-386-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL216981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical