Jamie M Allen, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Troy, NC
NPI 1396913166 · NPPES record last updated Jul 26, 2013
Key facts
- NPI
- 1396913166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C004803 (NC)
- Practice address
- 227 N Main St
Troy, NC 27371-3058 - Phone
- (910) 572-3681
- Fax
- (910) 572-5579
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004803 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004803 | NC | Yes |
Addresses
Primary practice location
227 N Main St
Troy, NC 27371-3058
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1894
Phone (704) 939-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141E2 | Other | NC | BCBS |
| 185337 | Other | NC | MEDCOST |
| 6002931 | Medicaid | NC |
Other providers in Troy, NC
- Alliance Medical, Inc.
- Lisa Anne Atkins
- Thomas M Bailey
- Jennifer Pauline Beadell
- Melissa Ellen Bentley
All providers in Troy, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.