Active NPI
Bruce R Allen, M.S.W.
- Clinical Social Worker
- Fayetteville, AR
National Provider Identifier
1568401602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007
- Practice address
- 111 E Davidson St
P.O. BX. 3724
Fayetteville, AR 72701-3413 - Phone
- (479) 582-4422
- Fax
- (208) 330-8228
- NPI assigned
- Jun 5, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | C007 | AR | Primary |
Addresses
Primary practice location
111 E Davidson St
P.O. BX. 3724
Fayetteville, AR 72701-3413
Mailing address
620 N Olive Ave
Fayetteville, AR 72701-3527
Phone (479) 582-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110607000103 | AR | Practitioner - Clinical Social Worker | 0941487656 | Practice locations: Fayetteville, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 E Davidson St
Fayetteville, AR 72701-3413
Phone (479) 973-3878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007 | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568401602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N OLIVE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013527",
"telephone_number": "479-582-4422",
"fax_number": "208-330-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E DAVIDSON ST",
"address_2": "P.O. BX. 3724",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013413",
"telephone_number": "479-582-4422",
"fax_number": "208-330-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRUCE",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "C007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.