Active NPI
Michael Roy Allen, LCSW
- Clinical Social Worker
- New Iberia, LA
National Provider Identifier
1114961646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3100
- Practice address
- 611 W Admiral Doyle Dr
New Iberia, LA 70560-6408 - Phone
- (337) 373-0002
- Fax
- (337) 373-0129
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3100 | LA | Primary |
Addresses
Primary practice location
611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Mailing address
1800 Louisiana Ave
Lafayette, LA 70501-3702
Phone (337) 267-7866
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3100 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Counselors II, LLC | Past | 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 and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Lafayette, LA
- NPI 1720032246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1114961646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LOUISIANA AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705013702",
"telephone_number": "337-267-7866",
"fax_number": "337-267-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W ADMIRAL DOYLE DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705606408",
"telephone_number": "337-373-0002",
"fax_number": "337-373-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MICHAEL",
"middle_name": "ROY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "3100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.