Individual provider Active NPI

Jennifer Allen

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1104140995
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9836 Issued in FL
Practice address
333 Commerce St
Nashville, TN 37201-1826
Phone
(615) 927-6658
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9836FLMDOccupational Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X 9836 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

333 Commerce St
Nashville, TN 37201-1826

Mailing address

333 Commerce St
Nashville, TN 37201-1826
Phone (863) 519-0575

Other practice location 1

1825 Gilmore Ave
Lakeland, FL 33805-3017
Phone (863) 519-0575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2022.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1104140995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011826",
            "telephone_number": "863-519-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011826",
            "telephone_number": "615-927-6658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Gilmore Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053017",
            "country_code": "US",
            "telephone_number": "863-519-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.