Provider Demographics
NPI:1528273091
Name:ALLAN, EVELYN RUSSELL (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:RUSSELL
Last Name:ALLAN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 CHISLETT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1130
Mailing Address - Country:US
Mailing Address - Phone:724-316-0882
Mailing Address - Fax:
Practice Address - Street 1:1423 LIVERPOOL ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-1307
Practice Address - Country:US
Practice Address - Phone:412-231-3103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125520104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker