Courtenay Alleyne, LCSW
Individual provider Active NPI Clinical Social Worker · Roanoke, VA
NPI 1497335673 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1497335673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904012714 (VA)
- Practice address
- 1315 Franklin Rd SW
Roanoke, VA 24016-4607 - Phone
- (540) 981-1102
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202003699 | DC | Practitioner - Clinical Social Worker | 8426583238 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012714 | VA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437137734 | Medicaid | VA |
Other providers in Roanoke, VA
- Thomas Allen III
- Allergy & Immunology VA, LLC
- Allergy & Immunology, PLC
- Allergy and Asthma Clinic, PC
- Allergy and Asthma Clinic, PC
- Shirley Alleyne
- Megan Allgauer
- David B Alligood
- Jeffrey Cameron Allman
- Martha Jean Allman
All providers in Roanoke, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.