IndividualActive
Allison Revenson, LCSW
NPI 1689787392 · Clinical Social Worker · Glen Allen, VA
Provider details
- NPI number
- 1689787392
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 0904001651 (VA)
Practice location
5213 Hickory Park Drive
Ste a
Glen Allen, VA 23059
Phone: (804) 237-8030
Fax: (804) 237-8028
Mailing address
5213 Hickory Park Drive
Glen Allen, VA 23059
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.