Individual provider Active NPI

Brandy T Allen, MSW, LICSW

  • Clinical Social Worker
  • Stoughton, MA
National Provider Identifier
1518170257
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119651 Issued in MA
Practice address
1629 Central St Ste 3
Stoughton, MA 02072-1693
Phone
(866) 754-4973
Fax
(781) 436-3032
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 119651 MA Primary

Addresses

Primary practice location

1629 Central St Ste 3
Stoughton, MA 02072-1693

Mailing address

1629 Central St Ste 3
Stoughton, MA 02072-1693
Phone (866) 754-4973

Other practice location 1

1125 Tremont St
Roxbury Crossing, MA 02120-2178
Phone (617) 989-3108

Other names 1

  • Brandy T Crawford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323002759 MA Practitioner - Clinical Social Worker 3577958867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerment Counseling and Psychotherapy CenterGroup PAC ID 2163848375, 4 clinicians

Practice addresses (Care Compare)

1629 Central St
Suite 3
Stoughton, MA 02072-1693
Phone 8667544973102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling and Psychotherapy Center CurrentSince Jan 22, 2022 Accepting new patients

Locations

1629 Central St
Ste 3
Stoughton, MA 02072
Phone (617) 344-5589

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1518170257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 CENTRAL ST STE 3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721693",
            "telephone_number": "866-754-4973",
            "fax_number": "781-436-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 CENTRAL ST STE 3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721693",
            "telephone_number": "866-754-4973",
            "fax_number": "781-436-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Tremont St",
            "address_purpose": "LOCATION",
            "city": "Roxbury Crossing",
            "state": "MA",
            "postal_code": "021202178",
            "country_code": "US",
            "telephone_number": "617-989-3108",
            "fax_number": "617-989-3247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BRANDY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "CRAWFORD",
            "middle_name": "T",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.