Individual provider Active NPI

Annette C. Allison, DSW, LCSW

  • Clinical Social Worker
  • Edinburg, TX
National Provider Identifier
1043745011
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65063 Issued in TX
Practice address
525 W Wisconsin Rd
Edinburg, TX 78539-3018
Phone
(956) 287-9754
NPI assigned
Apr 26, 2017
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12053 LA
Clinical Social Worker 1041C0700X 65063 TX Primary

Addresses

Primary practice location

525 W Wisconsin Rd
Edinburg, TX 78539-3018

Mailing address

2501 Holland Ave
Edinburg, TX 78539-0119
Phone (832) 623-9734

Other practice location 1

214 Maple Ridge Dr
Metairie, LA 70001-6145
Phone (832) 623-9734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65063TXMDClinical Social Worker
12053LAMDPreferred Provider Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Advocacy Center of Hidalgo County Inc PastSince Jul 12, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1043745011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HOLLAND AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390119",
            "telephone_number": "832-623-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W WISCONSIN RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393018",
            "telephone_number": "956-287-9754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Maple Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700016145",
            "country_code": "US",
            "telephone_number": "832-623-9734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "ANNETTE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12053",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.