Individual provider Active NPI

Jane Allgood, PH.D.

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1003470386
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4725G Issued in AL
Practice address
917 Willowbrook Dr SE Ste C
Huntsville, AL 35802-3263
Phone
(256) 850-4091
Fax
(256) 970-1643
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4725G AL Primary

Addresses

Primary practice location

917 Willowbrook Dr SE Ste C
Huntsville, AL 35802-3263

Mailing address

917 Willowbrook Dr SE
Ste C
Huntsville, AL 35802-3263
Phone (850) 524-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827001312 AL Practitioner - Clinical Social Worker 4688079767 Practice locations: Huntsville, AL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

917 Willowbrook Dr SE
Suite C
Huntsville, AL 35802-3263
Phone (256) 850-4091

917 Willowbrook Dr SE C
Huntsville, AL 35802-3263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4725GALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Allgood PHD Clinical CurrentSince Jul 2, 2021 Accepting new patients
Emily J Watson LCSW Pip LLC Clinical PastSince Jun 27, 2021 Accepting new patients

Locations

917 Willowbrook Dr SE
Ste C
Huntsville, AL 35802

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1003470386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 WILLOWBROOK DR SE",
            "address_2": "STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023263",
            "telephone_number": "850-524-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 WILLOWBROOK DR SE STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023263",
            "telephone_number": "256-850-4091",
            "fax_number": "256-970-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4725G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.