Individual provider Active NPI

Sharon Kay Allen, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1013133792
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801059472 Issued in MI
Practice address
2365 S Huron Pkwy
Suite a
Ann Arbor, MI 48104-5156
Phone
(734) 913-9548
Fax
(734) 973-7508
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 6801059472 MI Primary

Addresses

Primary practice location

2365 S Huron Pkwy
Suite a
Ann Arbor, MI 48104-5156

Mailing address

1817 W Stadium Blvd Ste C
Ann Arbor, MI 48103-4577

Other practice location 1

1817 W Stadium Blvd Ste C
Ann Arbor, MI 48103-4577
Phone (734) 660-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040729001384 MI Practitioner - Clinical Social Worker 4284604844 Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4311 Crestline Dr
Ann Arbor, MI 48103-9483
Phone (734) 660-1978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1013133792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 W STADIUM BLVD STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 S HURON PKWY",
            "address_2": "SUITE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045156",
            "telephone_number": "734-913-9548",
            "fax_number": "734-973-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1817 W Stadium Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034577",
            "country_code": "US",
            "telephone_number": "734-660-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.