Active NPI
Kimberly B Allen, LCSW
- Clinical Social Worker
- Wheeler, OR
National Provider Identifier
1184824997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4057
- Practice address
- 230 Rowe St.
Wheeler, OR 97147 - Phone
- (503) 368-5182
- Fax
- (503) 368-5590
- NPI assigned
- Jul 19, 2007
- Last updated
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4057 | OR | Primary |
Addresses
Primary practice location
230 Rowe St.
Wheeler, OR 97147
Mailing address
PO Box 176
Wheeler, OR 97147
Phone (503) 368-5182
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4057 | OR | MD | Clinical Social Worker |
| 4057 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nehalem Bay Health Center and Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Rockaway Beach, OR
- NPI 1811569387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1184824997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 176",
"city": "WHEELER",
"state": "OR",
"postal_code": "97147",
"telephone_number": "503-368-5182",
"fax_number": "503-368-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 ROWE ST.",
"city": "WHEELER",
"state": "OR",
"postal_code": "97147",
"telephone_number": "503-368-5182",
"fax_number": "503-368-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KIMBERLY",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeler, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.