Tierra Michelle Allen, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016451 Issued in NC

Practice address

4805 Green Rd Ste 103
Raleigh, NC 27616-2848

Phone

(919) 872-6220

Fax

(919) 872-6223

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By the provider in NPPES

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

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.

• Reset Therapeutic Group, PLLC

  • Mental Health Counselor
  • Durham, NC
  • NPI 1134926546
  Authorized official Same address or phone

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1396407854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 COBB RD",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273799274",
            "telephone_number": "336-694-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TIERRA",
        "middle_name": "MICHELLE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brian Allen, D.D.S.
• Robert L Allen, MD
• Sheri Defrees Allen, RD, RDN, LDN
• Stacy Ralph Allen, P.A.-C
• Tawannah G Allen
• Tionne Allen
• Allergy Partners, PLLC (Allergy Partners of the Triangle)
• Allergy Partners, PLLC (Allergy Partners of Raleigh)
• John Granville Alley Jr., M.D.
• Alliance Family Health Group

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.