Individual provider Active NPI

Lauren Grizzard Allen, LCSW

  • Clinical Social Worker
  • Jarratt, VA
National Provider Identifier
1760031637
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011243 Issued in VA
Practice address
546 Walnut Grove Dr
Jarratt, VA 23867-8611
Phone
(434) 634-3217
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904011243 VA Primary

Addresses

Primary practice location

546 Walnut Grove Dr
Jarratt, VA 23867-8611

Mailing address

319 Washington Ave
Jarratt, VA 23867-9029
Phone (434) 594-6056

Other practice location 1

20 W Bank St
Petersburg, VA 23803-3279
Phone (804) 862-6095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20221206002249 VA Practitioner - Clinical Social Worker 2466821939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District 19 Community Services BoardGroup PAC ID 4082502398, 7 clinicians

Practice addresses (Care Compare)

20 W Bank St
Suite 6
Petersburg, VA 23803-3279
Phone (804) 862-8054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011243VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
District 19 Community Services Board CurrentSince Aug 16, 2022 Accepting new patients
District 19 Community Services Board Past Accepting new patients

Locations

6102 County Dr
Disputanta, VA 23842

1101 Greensville County Cir
Emporia, VA 23847
Phone (434) 348-8900

20 W Bank St
Petersburg, VA 23803
Phone (804) 862-6410

20 W Bank St
Ste 1
Petersburg, VA 23803
Phone (804) 862-8003

20 W Bank St
Ste 2
Petersburg, VA 23803
Phone (804) 861-6606

20 W Bank St
Ste 3
Petersburg, VA 23803
Phone (804) 722-4299

20 W Bank St
Ste 4
Petersburg, VA 23803

20 W Bank St
Ste 5
Petersburg, VA 23803
Phone (804) 863-1689

20 W Bank St
Ste 6
Petersburg, VA 23803
Phone (804) 835-5425

20 W Bank St
Ste 7
Petersburg, VA 23803
Phone (804) 862-8054

20 W Bank St
Ste 9
Petersburg, VA 23803

4910 Prince George Dr
Prince George, VA 23875
Phone (804) 541-8660

Interoperability endpoints

  • Direct secure messaging: lauren.allen.p1@direct.d19csb.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1760031637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WASHINGTON AVE",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238679029",
            "telephone_number": "434-594-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WALNUT GROVE DR",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238678611",
            "telephone_number": "434-634-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Bank St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238033279",
            "country_code": "US",
            "telephone_number": "804-862-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LAUREN",
        "middle_name": "GRIZZARD",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarratt, VA

Sources for this page

Verify at the official NPI Registry.