Individual provider Active NPI

Roberta Allen, LCSW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1730437179
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014606 Issued in VA
Practice address
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone
(513) 853-8520
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.015417 IL
Clinical Social Worker 1041C0700X I.2203986 OH
Clinical Social Worker 1041C0700X 0904014606 VA Primary

Addresses

Primary practice location

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone (513) 853-8520

Other practice location 1

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (513) 853-8520

Other practice location 2

22431 Millard Ave
Richton Park, IL 60471-2046
Phone (708) 473-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20221216002138 OH Practitioner - Clinical Social Worker 7012264815 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015417ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Dec 6, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Dec 6, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Organizations & group practices 11

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1730437179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147",
            "telephone_number": "513-853-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147",
            "telephone_number": "513-853-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8580 Magellan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232271149",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22431 Millard Ave",
            "address_purpose": "LOCATION",
            "city": "Richton Park",
            "state": "IL",
            "postal_code": "604712046",
            "country_code": "US",
            "telephone_number": "708-473-6361",
            "fax_number": "708-481-7704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015417",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203986",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.