Individual provider Active NPI

Jennifer Allen, MSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1356840227
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2150 S Canalport Ave Ste 4C5
Chicago, IL 60608-3850
Phone
(773) 234-9355
NPI assigned
Feb 6, 2018
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2150 S Canalport Ave Ste 4C5
Chicago, IL 60608-3850

Mailing address

1255 S Michigan Ave Apt 1002
Chicago, IL 60605-3296
Phone (773) 419-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130001166 IL Practitioner - Clinical Social Worker 3678984424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Counseling Partners LLCGroup PAC ID 0749605830, 14 clinicians

Practice addresses (Care Compare)

715 Lake St
Suite 273
Oak Park, IL 60301-1411
Phone (773) 312-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Counseling Partners LLC CurrentSince Sep 16, 2020 Accepting new patients
DFM Wellness Alliance, LLC Past Accepting new patients

Locations

715 Lake St
Ste 273
Oak Park, IL 60301
Phone (708) 848-3800

715 Lake St
Ste 800
Oak Park, IL 60301
Phone (708) 848-4188

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1356840227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S MICHIGAN AVE APT 1002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053296",
            "telephone_number": "773-419-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S CANALPORT AVE STE 4C5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083850",
            "telephone_number": "773-234-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JENNIFER",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.