Individual provider Active NPI

Tiara Ajene-Gail Allen, ASW

  • Social Worker
  • Sacramento, CA
National Provider Identifier
1164261228
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW134505 Issued in CA
Practice address
6060 Sunrise Vista Drive
Suit 2100
Sacramento, CA 95628
Phone
(916) 967-6253
NPI assigned
May 20, 2024
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW134505 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

6060 Sunrise Vista Drive
Suit 2100
Sacramento, CA 95628

Mailing address

6060 Sunrise Vista Drive
Suit 2100
Sa, CA 95628

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW134505CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Youth Alternatives CurrentSince May 26, 2024 Accepting new patients
Berkeley Youth Alternatives CurrentSince May 26, 2024 Accepting new patients

Locations

1255 Allston Way
Berkeley, CA 94702
Phone (510) 845-9010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1164261228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SUNRISE VISTA DRIVE",
            "address_2": "SUIT 2100",
            "city": "SA",
            "state": "CA",
            "postal_code": "95628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 SUNRISE VISTA DRIVE",
            "address_2": "SUIT 2100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-967-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TIARA",
        "middle_name": "AJENE-GAIL",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW134505",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.