Jennifer L Allen
Individual provider Active NPI Clinical Social Worker · Eastvale, CA
NPI 1154913614 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1154913614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW87509 (CA)
- Practice address
- 5482 E Homecoming Cir Apt C
Eastvale, CA 91752-3601 - Phone
- (951) 790-7536
- NPI assigned
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Talkspace Provider Network Ca PC
Practice addresses (Care Compare)
74876 Serrano Dr
Twentynine Palms, CA 92277-3740
Phone (212) 284-7206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20240418003559 | CA | Practitioner - Clinical Social Worker | 8022457373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW87509 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Provider Network Ca PC | Current |
Accepting new patients |
Locations
2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW87509 | CA | Yes |
Addresses
Primary practice location
5482 E Homecoming Cir Apt C
Eastvale, CA 91752-3601
Mailing address
5482 E Homecoming Cir Apt C
Eastvale, CA 91752-3601
Phone (951) 790-7536
Other providers in Eastvale, CA
- Marilynn Wendy Aguayo
- Mina Al Shikhly
- Albertsons LLC
- Mandalyn G Alcala
- Lucy Alikian
- Allwise Care Companion Inc
- Caryn Joyce Amadei
- Christopher Chuka Amakeze
- Amir Ali Amir Aslani
- Amy Kim DMD Inc.
All providers in Eastvale, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2021. 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.