Staci Allen Allen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

37618 Issued in TX

Practice address

11500 Northwest Fwy Ste 465
Houston, TX 77092-6538

Phone

(713) 956-8194

NPI assigned

Feb 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Staci Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloom Counseling & Family Services Corporation

  • Mental Health Counselor
  • Houston, TX
  • NPI 1407841299
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1689813768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 B YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086919",
            "telephone_number": "713-868-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY STE 465",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926538",
            "telephone_number": "713-956-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STACI",
        "middle_name": "ALLEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "37618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "ALLEN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shatara Allen
• Shawn Michael Allen, M.D.
• Sherilyn Yvette Allen, D.ED
• Shontael Toynette Allen
• Shynice Allen
• Stephen Joseph Allen, PT, MS
• Steven J Allen, M.D.
• Sydnie Allen, OTD
• Talayia Allen, HAIR LOSS SPECIALIST
• Tammy Kae Allen, MA, LPC

• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.