Individual provider Active NPI

Marissa Joi Allen, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1720855992
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64616 Issued in TX
Practice address
2111 Dickson Dr Ste 16
Austin, TX 78704-4788
Phone
(512) 270-8215
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 64616 TX Primary

Addresses

Primary practice location

2111 Dickson Dr Ste 16
Austin, TX 78704-4788

Mailing address

2111 Dickson Dr Ste 16
Austin, TX 78704-4788
Phone (512) 270-8215

Other practice location 1

8515 S Interstate 35 Apt 16239
Austin, TX 78744-6862
Phone (512) 883-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64616TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Jul 19, 2024 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 1

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1720855992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 DICKSON DR STE 16",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044788",
            "telephone_number": "512-270-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 DICKSON DR STE 16",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044788",
            "telephone_number": "512-270-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8515 S Interstate 35 Apt 16239",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787446862",
            "country_code": "US",
            "telephone_number": "512-883-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARISSA",
        "middle_name": "JOI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.