Individual provider Active NPI

Stephanie Edwards Allen

  • Clinical Social Worker
  • Mount Airy, NC
National Provider Identifier
1114558236
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014282 Issued in NC
Practice address
847 W Lake Dr
Mount Airy, NC 27030-2157
Phone
(336) 783-6919
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 P014282 NC Primary

Addresses

Primary practice location

847 W Lake Dr
Mount Airy, NC 27030-2157

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220601001419 NC Practitioner - Clinical Social Worker 7719365881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Chatham Medical Park
Elkin, NC 28621-2482
Phone (336) 835-4819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014282NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Jan 15, 2024 Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Jan 15, 2024 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Current Accepting new patients
Daymark Recovery Services, Inc. Clinical CurrentSince Feb 18, 2022 Accepting new patients
Hugh Chatham Memorial Hospital, Inc Past Accepting new patients

Locations

911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

560 Winston Rd
#B
Jonesville, NC 28642
Phone (336) 526-6460

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 247-2450

940 W Lebanon St
Mount Airy, NC 27030
Phone (336) 783-6919

3369 Clingman Rd
Ronda, NC 28670
Phone (336) 984-3003

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1114558236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W LAKE DR",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302157",
            "telephone_number": "336-783-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STEPHANIE",
        "middle_name": "EDWARDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.