Individual provider · Type 1 NPI

Allen R. Stata, PhD, LCSW (PIP) ACSW

Clinical Social Worker · Marion, AL

NPI number 1861934705 Active

Practice location

104 Edwards Drive
Marion, AL 36756

Fax (334) 683-4114

Mailing address

1017 Medical Center Parkway
Selma, AL 36701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2235C (AL)

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 1861934705

Allen R. Stata, PhD, LCSW (PIP) ACSW's National Provider Identifier is 1861934705, issued on Nov 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, AL. The record was last updated on Nov 9, 2016.