ALLISON PARK (NPI# 1487288064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487288064 |
| Entity Type | Individual |
| Full Name | ALLISON PARK |
| Practice Address |
3248 Vandever Ave Pekin IL 61554-6274 |
| Practice Telephone | 3093475579 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164524476 | Allison H. Park | Optometrist | 232 S Brand Blvd, Glendale, CA 91204-1310 | 2006-09-05 |
| 1548541964 | Allison Sunghye Park | Dentist | 3708 Main St, Flushing, NY 11354-6537 | 2011-08-30 |
| Street Address |
3248 VANDEVER AVE |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-6274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588792 | Randall S Tennis | Counselor | 3248 Vandever Ave, Pekin, IL 61554 | 2006-04-18 |
| 1982205050 | Morgan Fulton-gorham | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1750982823 | Tanya Tanguay | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1942801006 | Stacey Day | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1144821208 | Danny Roscoe Callahan | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1528669686 | Kathryn Dorsey Yesis | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1649871799 | Francis Joseph Zammuto | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1609476134 | Andrew Duckworth | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-26 |
| 1396344065 | Austin Lair | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-22 |
| 1396379970 | Taylor Harrison | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811026750 | Dennis Jay Crowell | Social Worker | 15 S Capitol St, Suite 213, Pekin, IL 61554-4100 | 2007-03-05 |
| 1689678294 | Deborah Kay Scott | Social Worker | 3249 Barney Ave, Pekin, IL 61554-6234 | 2005-06-10 |
| 1770089377 | Joshua Connor | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2018-04-03 |
| 1477056851 | Saralyn Higgins | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2018-03-13 |
| 1407360902 | Amanda Sharp | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2017-11-21 |
| 1730693334 | Mendy Payne | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2017-11-20 |
| 1679920250 | Kathryn Watson | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2016-05-24 |
| 1568805034 | Anita Keller | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2013-04-15 |
| 1306185301 | Daniel Walker | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2013-02-11 |
| 1124377312 | Jacie Graber | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2012-09-04 |
| Find all providers in PEKIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.