Active NPI
Coleen Allen
- Social Worker
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122829
- Practice address
- 4604A Roosevelt Ave
Sacramento, CA 95820-4520 - Phone
- (916) 457-3129
- NPI assigned
- Apr 26, 2022
- Last updated
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 122829 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 122829 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Community Health Worker | 172V00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
4604A Roosevelt Ave
Sacramento, CA 95820-4520
Mailing address
18225 Hale Ave
Morgan Hill, CA 95037-3547
Phone (408) 465-8280
Other practice location 1
9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Phone (408) 465-8280
Other names 1
- Coleen Amanda Loren Allen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122829 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psynergy Programs, Inc. | Clinical | Current | Accepting new patients |
| County of Solano | Past | Accepting new patients | |
| Turning Point Community Programs - PSH | Past | Accepting new patients |
Locations
18225 Hale Ave
Morgan Hill, CA 95037
Phone (408) 762-7022
9343 Tech Center Dr
Ste 110
Sacramento, CA 95826
Phone (916) 379-5876
Organizations & group practices 3
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.
-
dba Psynergy - Sacramento
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1194132910
Clinical
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1083845275
-
- Adult Mental Health Clinic/Center
- Sacramento, CA
- NPI 1114054475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1518601418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18225 HALE AVE",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373547",
"telephone_number": "408-465-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604A ROOSEVELT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958204520",
"telephone_number": "916-457-3129"
}
],
"practiceLocations": [
{
"address_1": "9343 Tech Center Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958262592",
"country_code": "US",
"telephone_number": "408-465-8280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "COLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "122829",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "122829",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLEEN",
"last_name": "ALLEN",
"middle_name": "AMANDA LOREN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.