Active NPI
Susan Allen, RCSWI
- Clinical Social Worker
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014764
- Practice address
- 8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512 - Phone
- (703) 289-7560
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW13397 | FL | |
| Clinical Social Worker | 1041C0700X | 0904014764 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512
Mailing address
3109 S Semoran Blvd Apt 93
Orlando, FL 32822-2672
Phone (754) 265-0106
Other practice location 1
3109 S Semoran Blvd Apt 93
Orlando, FL 32822-2672
Phone (754) 265-0106
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sallen1124491@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220002157 | DC | Practitioner - Clinical Social Worker | 8123416401 | Reassigns benefits to 1 organization |
| I20231221001719 | VA | Practitioner - Clinical Social Worker | 8123416401 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
8505 Arlington Blvd
Fairfax, VA 22031-4630
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW13397 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
Locations
8221 Willow Oaks Corporate Dr
Ste 4420
Fairfax, VA 22031
Phone (703) 289-7599
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- sallen1124491@soc.inova.org
Organizations & group practices 24
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.
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DC, Single Specialty, VA
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-
- Community/Retail Pharmacy
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- NPI 1093526295
-
- Psychiatric Hospital Unit
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- NPI 1104957083
-
- Community/Retail Pharmacy
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- NPI 1184346470
-
- General Acute Care Hospital
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- NPI 1255684460
-
- Medical Oncology Physician
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- NPI 1275097123
-
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1154882801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 S SEMORAN BLVD APT 93",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222672",
"telephone_number": "754-265-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR STE 4-420",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-289-7560"
}
],
"practiceLocations": [
{
"address_1": "3109 S Semoran Blvd Apt 93",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328222672",
"country_code": "US",
"telephone_number": "754-265-0106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "SUSAN",
"credential": "RCSWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW13397",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sallen1124491@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8221 Willow Oaks Corporate Dr Ste 4-420",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.