Individual provider Active NPI

Heidi Allen, LCSW

  • Clinical Social Worker
  • Farmington, MO
National Provider Identifier
1598201527
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2013040830 Issued in MO
Practice address
400 N Washington St Ste 130B
Farmington, MO 63640-1716
Phone
(573) 535-9398
NPI assigned
Jan 14, 2017
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2013040830 MO Primary

Addresses

Primary practice location

400 N Washington St Ste 130B
Farmington, MO 63640-1716

Mailing address

7455 Sprott Rd
Sainte Genevieve, MO 63670-8223
Phone (573) 535-9398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190104002395 MO Practitioner - Clinical Social Worker 1951647338 Practice locations: Farmington, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 N Washington St
Farmington, MO 63640-1757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013040830MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace & Purpose Emdr Counseling Services, LLC Current Accepting new patients
Advanced Psychiatric Services Past Accepting new patients
Tender Hearts Child Therapy Center, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1598201527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 SPROTT RD",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708223",
            "telephone_number": "573-535-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WASHINGTON ST STE 130B",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401716",
            "telephone_number": "573-535-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013040830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.