Derrick Allen, MS
Individual provider Active NPI Social Worker · Memphis, TN
NPI 1740414812 · NPPES record last updated Dec 3, 2015
Key facts
- NPI
- 1740414812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2019 Belmar St
Memphis, TN 38106-7103 - Phone
- (901) 644-9704
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2019 Belmar St
Memphis, TN 38106-7103
Mailing address
2019 Belmar St
Memphis, TN 38106-7103
Phone (901) 644-9704
Other names
- Mr. Derrick W Allen
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.