Stephanie Edwards Allen
Individual provider Active NPI Clinical Social Worker · Mount Airy, NC
NPI 1114558236 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1114558236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P014282 (NC)
- Practice address
- 847 W Lake Dr
Mount Airy, NC 27030-2157 - Phone
- (336) 783-6919
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hugh Chatham Memorial Hospital, Inc.
Practice addresses (Care Compare)
600 Chatham Medical Park
Elkin, NC 28621-2482
Phone (336) 835-4819
Hospital & facility affiliations
- Hugh Chatham Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 89.03
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 90.28
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220601001419 | NC | Practitioner - Clinical Social Worker | 7719365881 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014282 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Clinical | Current |
Accepting new patients |
| Hugh Chatham Memorial Hospital, Inc. | Current | Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc | Current |
Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc | Current |
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) 300-8836
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014282 | NC | Yes |
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
Other providers in Mount Airy, NC
- A Friend in Need Home Health Care
- Aaron McKenneth France MD
- Ramil Morados Abenales
- Alliant Behavioral Care PLLC
- American Healthcare Services, Inc.
- American Healthcare Services, Inc.
- Bryn Avery Anderson
- Samantha Kasey Anderson
All providers in Mount Airy, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.