Individual provider Active NPI

Cassandra Jean Allen, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1609008366
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012267 Issued in NC
Practice address
18 Oak Branch Dr
Greensboro, NC 27407-2443
Phone
(336) 579-2312
NPI assigned
Aug 13, 2009
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 P005276 NC
Clinical Social Worker 1041C0700X P012267 NC Primary

Addresses

Primary practice location

18 Oak Branch Dr
Greensboro, NC 27407-2443

Mailing address

18 Oak Branch Dr
Greensboro, NC 27407-2443
Phone (336) 579-2312

Other practice location 1

766 Hartness Rd
Statesville, NC 28677-3479
Phone (704) 380-3620

Other practice location 2

18 Oak Branch Dr
Greensboro, NC 27407-2443
Phone (336) 579-2312

Other practice location 3

414 W Lebanon St
Mount Airy, NC 27030-2954
Phone (336) 789-9587

Other practice location 4

913 N Carolina Ave
Statesville, NC 28677-3414
Phone (704) 871-0934 ext. 8418

Other practice location 5

6329 Unity St
Thomasville, NC 27360-7185
Phone (336) 793-2518

Other practice location 6

2009 S Elm Eugene St
Greensboro, NC 27406-2824
Phone (336) 333-5366

Other identifiers 1

IdentifierTypeStateIssuer
1609008366MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231213000670 NC Practitioner - Clinical Social Worker 3274982426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

500 Pineview Dr
Suite 205
Kernersville, NC 27284-3814
Phone (336) 329-3295

6371 Jessie LN
Clemmons, NC 27012-9887
Phone (336) 740-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P005276NCMDMental Health Counselor
P012267NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Sep 12, 2023 Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

Organizations & group practices 2

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1609008366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OAK BRANCH DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072443",
            "telephone_number": "336-579-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OAK BRANCH DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072443",
            "telephone_number": "336-579-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 Hartness Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773479",
            "country_code": "US",
            "telephone_number": "704-380-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Oak Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274072443",
            "country_code": "US",
            "telephone_number": "336-579-2312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 W Lebanon St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270302954",
            "country_code": "US",
            "telephone_number": "336-789-9587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 N Carolina Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773414",
            "country_code": "US",
            "telephone_number": "704-871-0934 x8418",
            "fax_number": "704-402-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6329 Unity St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273607185",
            "country_code": "US",
            "telephone_number": "336-793-2518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 S Elm Eugene St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274062824",
            "country_code": "US",
            "telephone_number": "336-333-5366",
            "fax_number": "336-333-5046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P005276",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609008366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.