Active NPI
Barbara Allen, LCSW, QMHP
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1316194673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5309
- Practice address
- 2645 Portland Rd NE
Salem, OR 97301-0198 - Phone
- (503) 370-8990
- Fax
- (503) 363-4214
- NPI assigned
- Aug 19, 2008
- 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 | L5309 | OR | Primary |
Addresses
Primary practice location
2645 Portland Rd NE
Salem, OR 97301-0198
Mailing address
2645 Portland Rd NE
Salem, OR 97301-0198
Phone (503) 390-5637
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 |
|---|---|---|---|
| L5309 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1316194673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 PORTLAND RD NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010198",
"telephone_number": "503-390-5637",
"fax_number": "503-393-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 PORTLAND RD NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010198",
"telephone_number": "503-370-8990",
"fax_number": "503-363-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BARBARA",
"credential": "LCSW, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.