Individual provider Active NPI

Jeremy Alan Allred

  • Clinical Social Worker
  • King City, CA
National Provider Identifier
1619344009
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
98939 Issued in CA
Practice address
200 Broadway St Ste 70
King City, CA 93930-2866
Phone
(831) 759-7280
Fax
(831) 775-8144
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 98939 CA Primary

Addresses

Primary practice location

200 Broadway St Ste 70
King City, CA 93930-2866

Mailing address

200 Broadway St Ste 70
King City, CA 93930-2866
Phone (831) 759-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230424001129 CA Practitioner - Clinical Social Worker 1658736806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98939CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Dec 28, 2022 Accepting new patients
County of Monterey CurrentSince Dec 28, 2022 Accepting new patients

Locations

200 Broadway St
Ste 70
King City, CA 93930
Phone (831) 386-6805

1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500

359 Gabilan Dr
Soledad, CA 93960
Phone (831) 769-8740

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1619344009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROADWAY ST STE 70",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939302866",
            "telephone_number": "831-759-7280",
            "fax_number": "831-775-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY ST STE 70",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939302866",
            "telephone_number": "831-759-7280",
            "fax_number": "831-775-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "JEREMY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, CA

Sources for this page

Verify at the official NPI Registry.