Gwendolyn Phoebe Allen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

079051 Issued in NY

Practice address

6490 Taylor Rd Lot 17
Hamburg, NY 14075-6565

Phone

(877) 246-2396

NPI assigned

Feb 7, 2018

Last updated

Mar 17, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beyond Boundaries: Therapy for Kids

  • Early Intervention Provider Agency
  • Hamburg, NY
  • NPI 1548494347
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487153292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LAFAYETTE AVE UPPR APT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131347",
            "telephone_number": "646-249-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 TAYLOR RD LOT 17",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756565",
            "telephone_number": "877-246-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Lafayette Ave Uppr Apt",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142131347",
            "country_code": "US",
            "telephone_number": "646-249-0960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GWENDOLYN",
        "middle_name": "PHOEBE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE STATE EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES",
            "identifier": "079051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smita Agarwal, MD
• Erin Agle
• Jason Anthony Agnello, LMSW
• Susan Marie Agnew, MSCCCSLP
• Alicia Parks
• Laureen G Allen, LMT
• Lisa Aloi-Morris, DC
• Elizabeth Anne Alvarado, LCSW
• Amar Atwal, MD PC (Buffalo Eye Care Associates)
• Erin E Amborski, PA

• Social Worker in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.