Individual provider · Type 1 NPI
Jessica Allan
Clinical Social Worker · Port Jefferson Station, NY
Practice location
1423 Hallock Ave
Port Jefferson Station, NY 11776-1213
Mailing address
200 E Broadway Unit A
Port Jefferson, NY 11777-1264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 15968-01 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1013488808
Jessica Allan's National Provider Identifier is 1013488808, issued on Dec 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 23, 2026.