Individual provider Active NPI

Jeffrey Cameron Allman, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1528034857
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001148 Issued in VA
Practice address
2727 Electric Rd
Suite 100
Roanoke, VA 24018
Phone
(540) 772-5153
Fax
(540) 772-5157
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904001148 VA Primary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 0904-001148 VA

Addresses

Primary practice location

2727 Electric Rd
Suite 100
Roanoke, VA 24018

Mailing address

2727 Electric Rd, Ste 100
Psychological Health Roanoke
Roanoke, VA 24018
Phone (540) 772-5153

Other identifiers 1

IdentifierTypeStateIssuer
010196027MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050927000313 VA Practitioner - Clinical Social Worker 8123052396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Health Roanoke PCGroup PAC ID 4981606076, 13 clinicians

Practice addresses (Care Compare)

2840 Electric Rd
Suite 200
Roanoke, VA 24018-3551
Phone (540) 777-7087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904-001148VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Roanoke PC Clinical CurrentSince Mar 24, 2010 Accepting new patients
Carilion Behavioral Health, Inc Past Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

2840 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 772-5153

2727 Electric Rd
Ste 100
Roanoke, VA 24018
Phone (540) 772-5140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1528034857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD, STE 100",
            "address_2": "PSYCHOLOGICAL HEALTH ROANOKE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-772-5153",
            "fax_number": "540-772-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-772-5153",
            "fax_number": "540-772-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLMAN",
        "first_name": "JEFFREY",
        "middle_name": "CAMERON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001148",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904-001148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196027",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.