Active NPI
Wanda Anita Allen
- Social Worker
- Clarksville, TN
National Provider Identifier
1235690959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11506
- Practice address
- 1700 Autumnwood Blvd
Clarksville, TN 37042-1704 - Phone
- (931) 436-3213
- NPI assigned
- Mar 26, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 11506 | TN | Primary |
Addresses
Primary practice location
1700 Autumnwood Blvd
Clarksville, TN 37042-1704
Mailing address
1700 Autumnwood Blvd
Clarksville, TN 37042-1704
Phone (931) 436-3213
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1235690959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 AUTUMNWOOD BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421704",
"telephone_number": "931-436-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 AUTUMNWOOD BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421704",
"telephone_number": "931-436-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "WANDA",
"middle_name": "ANITA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "11506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.