Taylor Van Allen, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28408 Issued in MN

Practice address

2100 Bassett Dr
Mankato, MN 56001-6888

Phone

(612) 240-7906

NPI assigned

Sep 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor Fish Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Homes, IncGroup PAC ID 2062734304, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/horizonhomes/r4/

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.

• Horizon Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1649368127

  MN

  Medicare reassignment Care Compare group NPD
• Horizon Homes, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1093895997
  NPD
• Horizon Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1124333810
  NPD
• Horizon Homes, Inc.

  • Community/Behavioral Health Agency
  • Mankato, MN
  • NPI 1821389214
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1619699196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3032",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560023032",
            "telephone_number": "507-344-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BASSETT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016888",
            "telephone_number": "612-240-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALLEN",
        "first_name": "TAYLOR",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "FISH",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John L Uttech, RPH
• Hailey Rose Vail
• Riley Miah Valentine
• Tabitha Violet Ann Valenzuela
• Prentice Valvick
• Sonja Van Note
• Hannah Jo Van Otterloo, LGSW
• Nicholas Allen Van Peursem, PHARMD
• Tiffany Faye Vanderziel, MA, LPCC
• Ia Vang

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.

Verify at the official NPI Registry.