Individual provider Active NPI

James Robert Allison, LCSW

  • Social Worker
  • Kingston, NY
National Provider Identifier
1164868899
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072254 Issued in NY
Practice address
124 Green St
Kingston, NY 12401-4422
Phone
(845) 331-3001
Fax
(845) 335-4600
NPI assigned
May 21, 2013
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072254 NY Primary

Addresses

Primary practice location

124 Green St
Kingston, NY 12401-4422

Mailing address

124 Green St
Kingston, NY 12401-4422
Phone (845) 594-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625001671 NY Practitioner - Clinical Social Worker 0840501284 Practice locations: Kingston, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

721 Broadway
Suite 204
Kingston, NY 12401-3449
Phone (845) 242-8375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072254NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Grunblatt Psychology, PLLC Past Accepting new patients
James Allison, LCSW Social Worker PastSince Sep 4, 2017 Accepting new patients
Grunblatt Psychology and Counseling Offices, P.C. PastSince Dec 23, 2008 Accepting new patients

Organizations & group practices 3

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1164868899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-594-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-331-3001",
            "fax_number": "845-335-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.