Evelyn Elaine Allen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS15110 Issued in CA

Practice address

3850 Eucalyptus Ave
Chino Hills, CA 91709-1807

Phone

(909) 597-9974

Fax

(909) 627-9222

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boys Republic

  • Mental Illness Community Based Residential Treatment Facility
  • Chino Hills, CA
  • NPI 1801346655
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1255882239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BOYS REPUBLIC DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095447",
            "telephone_number": "909-628-1217",
            "fax_number": "909-627-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 EUCALYPTUS AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091807",
            "telephone_number": "909-597-9974",
            "fax_number": "909-627-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EVELYN",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertsons LLC (Savon Pharmacy #3592)
• Albertsons LLC (Savon Pharmacy #2515)
• Courtney Alcala, PA
• Karen Kay Gragasin Alfonso, M.D.
• Andrea L Allen, RN
• Warren Curtis Allen, LVN
• Alpha Men's Health, Inc. (The Mark Men's Health)
• America Alvarenga-Phillips, LMFT
• Stephanie Rosario Alvarez
• Adriana Amaral

• Clinical Social Worker in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.