Tresa Darlane Allen, MSW, LMSW
Individual provider Active NPI Clinical Social Worker · Columbia, MO
NPI 1225620404 · NPPES record last updated Oct 4, 2024
Key facts
- NPI
- 1225620404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2012003365 (MO)
- Practice address
- 3401 Berrywood Dr Ste 300
Columbia, MO 65201-6515 - Phone
- (573) 777-8330
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012003365 | MO | MD | Clinical Social Worker |
| 054513 | MO | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrell, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 054513 | MO | |
| Clinical Social Worker | 1041C0700X | 2012003365 | MO | Yes |
Addresses
Primary practice location
3401 Berrywood Dr Ste 300
Columbia, MO 65201-6515
Mailing address
2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Medicaid | MO |
Other providers in Columbia, MO
- Maury Allen
- Michelle M Allen
- Shirley Summer Allen
- Steven Ray Allen
- Stuart Allen
- Allergy and Asthma Consultants of the Ozarks, LTD
- Allergy and Asthma Educational Specialists, LLC
- Katherine Allhoff
- Blake Allison
- Amanda Lou Ann Allmon
All providers in Columbia, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.