Active NPI
Judith Lynn Allen, MSW, LCSW
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1366655789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7092
- Practice address
- 1631 Hillcrest St
Orlando, FL 32803-4809 - Phone
- (407) 644-5437
- Fax
- (407) 270-2433
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SW7092 | FL | Primary |
Addresses
Primary practice location
1631 Hillcrest St
Orlando, FL 32803-4809
Mailing address
1631 Hillcrest St
Orlando, FL 32803-4809
Phone (407) 644-5437
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11845436 | Other | FL | CAQH |
| 7283700 | Medicaid | FL | |
| SW7092 | Other | FL | DOH LICENSE # |
| 768827000 | Medicaid | FL |
Other names 1
- Judi Lynn Allen
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 |
|---|---|---|---|
| SW7092 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Counseling Services,LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1790157626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366655789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 HILLCREST ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034809",
"telephone_number": "407-644-5437",
"fax_number": "407-270-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 HILLCREST ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034809",
"telephone_number": "407-644-5437",
"fax_number": "407-270-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JUDITH",
"middle_name": "LYNN",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11845436",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7283700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH LICENSE #",
"identifier": "SW7092",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768827000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDI",
"last_name": "ALLEN",
"middle_name": "LYNN",
"credential": "MSW, LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.