Active NPI
James Robert Allison, LCSW
- Social Worker
- Kingston, NY
National Provider Identifier
1164868899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072254
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 072254 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea Grunblatt Psychology, PLLC | Past | Accepting new patients | |
| James Allison, LCSW | Social Worker | Past | Accepting new patients |
| Grunblatt Psychology and Counseling Offices, P.C. | Past | 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.
-
- Social Worker
- Kingston, NY
- NPI 1669982989
-
- Clinical Psychologist
- Kingston, NY
- NPI 1255606406
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingston, NY
- NPI 1730325531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.