IndividualActive
Allen Stata, PHD, LCSW (PIP) ACSW
NPI 1861934705 · Clinical Social Worker · Marion, AL
Provider details
- NPI number
- 1861934705
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LCSW (PIP) ACSW
- Sex
- Male
- Sole proprietor
- No
- License
- 2235C (AL)
Practice location
104 Edwards Drive
Marion, AL 36756
Phone: (334) 815-2100
Fax: (334) 683-4114
Mailing address
1017 Medical Center Parkway
Selma, AL 36701
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.