Danette Allen, LCSW
Individual provider Active NPI Social Worker · Texarkana, TX
NPI 1285060012 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1285060012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1400 College Dr Ste 204
Texarkana, TX 75503-3575 - Phone
- (903) 791-1110
- Fax
- (903) 791-9353
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Texas Border Health Clinic
Practice addresses (Care Compare)
1400 College Dr
Texarkana, TX 75503-3536
Phone (903) 791-1110
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180206000270 | TX | Practitioner - Clinical Social Worker | 0749540011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64755 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Border Health Clinic | Current | Accepting new patients | |
| East Texas Border Health Clinic | Current |
Accepting new patients | |
| East Texas Border Health Clinic | Current |
Accepting new patients | |
| East Texas Border Health Clinic | Past |
Accepting new patients | |
| East Texas Border Health Clinic | Past |
Accepting new patients |
Locations
1400 College Dr
Ste 204
Texarkana, TX 75503
Phone (903) 791-1110
1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110
Interoperability endpoints
- danette.allen@gpc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1400 College Dr Ste 204
Texarkana, TX 75503-3575
Mailing address
4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone (479) 521-1427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64755 | Other | TX | TX LICENSE |
| 6902-C | Other | AR | AR LICENSE |
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.