Individual provider Active NPI

Allison Lewin Deehan, LCSW

  • Clinical Social Worker
  • Southport, CT
National Provider Identifier
1497121891
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088052 Issued in NY
Practice address
430 Mill Hill Ter
Southport, CT 06890-1232
Phone
(240) 401-6215
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095068 NY
Clinical Social Worker 1041C0700X 011412 CT
Clinical Social Worker 1041C0700X 088052 NY Primary

Addresses

Primary practice location

430 Mill Hill Ter
Southport, CT 06890-1232

Mailing address

1201 Kings Hwy Ste 2
Fairfield, CT 06824-5319
Phone (240) 401-6215

Other practice location 1

128 W 81st St
New York, NY 10024-5952
Phone (240) 401-6215

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aldpsychotherapy@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011412CTMDClinical Social Worker
088052NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1497121891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KINGS HWY STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245319",
            "telephone_number": "240-401-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILL HILL TER",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901232",
            "telephone_number": "240-401-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 W 81st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100245952",
            "country_code": "US",
            "telephone_number": "240-401-6215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEHAN",
        "first_name": "ALLISON",
        "middle_name": "LEWIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095068",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011412",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aldpsychotherapy@gmail.com",
            "affiliation": "N",
            "address_1": "430 Mill Hill Ter",
            "city": "Southport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068901232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.