Active NPI
Christine Marie Allen, LCSW
- Clinical Social Worker
- Canandaigua, NY
National Provider Identifier
1730119488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P047986-1
- Practice address
- 58 N Main St
First Congregational Church
Canandaigua, NY 14424-1446 - Phone
- (585) 303-5196
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P047986-1 | NY | Primary |
Addresses
Primary practice location
58 N Main St
First Congregational Church
Canandaigua, NY 14424-1446
Mailing address
22 Park St
Phelps, NY 14532-1130
Phone (585) 303-5196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159507FK | Other | NY | PREFERRED CARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P047986-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Mental Health | Clinical | Past | Accepting new patients |
| Schuyler County | Past | Accepting new patients | |
| State of New York Comptrollers Office | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulance
- Watkins Glen, NY
- NPI 1205544012
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1730119488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PARK ST",
"city": "PHELPS",
"state": "NY",
"postal_code": "145321130",
"telephone_number": "585-303-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 N MAIN ST",
"address_2": "FIRST CONGREGATIONAL CHURCH",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241446",
"telephone_number": "585-303-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P047986-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "159507FK",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.