Ebony Ellzey Allen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12216 Issued in LA

Practice address

1500 Lafayette St Ste 144
Gretna, LA 70053-5758

Phone

(504) 372-1810

NPI assigned

Jun 27, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  LA

  Medicare reassignment NPD
• Brook Haven Counseling and Consulting Services, LLC

  • Clinical Social Worker
  • Gretna, LA
  • NPI 1336948769
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1033770235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 GENERAL COLLINS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701145027",
            "telephone_number": "504-372-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE ST STE 144",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535758",
            "telephone_number": "504-372-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EBONY",
        "middle_name": "ELLZEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "12216",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Align Chiropractic, LLC
• Aligned Behavior Method, LLC
• All About You Transportation
• All Smiles Dental LLC
• Darius Michael Allen
• Gwendolyn Faye Allen
• Mark McLean Allen, MD
• Alternative Care Consultants, LLC
• American Active Rehab Inc
• American Resource Technicians

• Clinical Social Worker in Gretna, LA
• Providers in Gretna, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.