Active NPI
Courtenay Alleyne, LCSW
- Clinical Social Worker
- Roanoke, VA
National Provider Identifier
1497335673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012714
- Practice address
- 1315 Franklin Rd SW
Roanoke, VA 24016-4607 - Phone
- (540) 981-1102
- NPI assigned
- Apr 12, 2021
- Last updated
- Nov 15, 2024
- 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 | 0904012714 | VA | Primary |
Addresses
Primary practice location
1315 Franklin Rd SW
Roanoke, VA 24016-4607
Mailing address
301 Elm Ave SW
Roanoke, VA 24016-4001
Other practice location 1
1134 Marlian Ave NW
Roanoke, VA 24012-3828
Phone (862) 400-5479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904012714 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1497335673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ELM AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164607",
"telephone_number": "540-981-1102"
}
],
"practiceLocations": [
{
"address_1": "1134 Marlian Ave NW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240123828",
"country_code": "US",
"telephone_number": "862-400-5479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEYNE",
"first_name": "COURTENAY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- Thomas Allen III, PHARMD
- Allergy & Immunology VA, LLC (Asthma & Allergy Center)
- Allergy & Immunology, PLC (Asthma & Allergy Center)
- Allergy and Asthma Clinic, PC
- Allergy and Asthma Clinic, PC
- Shirley Alleyne, ATC
- Megan Allgauer, PA-C
- David B Alligood, M.D.
- Jeffrey Cameron Allman, LCSW
- Martha Jean Allman, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.