Kimberly Jo Allen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013579 Issued in IL

Practice address

4703 44TH St
Rock Island, IL 61201-7189

Phone

(309) 788-9581

Fax

(309) 788-9608

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities Dop

  • Community/Behavioral Health Agency
  • Rock Island, IL
  • NPI 1073699914
  NPD (past)
• The Center for Youth and Family Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
  • NPI 1699040451
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1003040197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W OAK ST",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481573",
            "telephone_number": "563-343-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 44TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017189",
            "telephone_number": "309-788-9581",
            "fax_number": "309-788-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Ahuja, M.D.
• Aisling Wellness PLLC
• Bashar Al Khoury
• Lakshmi L Alapati, MD
• Alcohol & Drug Education Clinic, Inc.
• Patricia Marie Allshouse, PTA
• Neva Alpers, LCSW
• Alpha and Omega Medical Inc.
• Anitza Alvarado, RN
• Amedisys Illinois LLC

• Clinical Social Worker in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.