Active NPI
Charles Randall Allen
- Social Worker
- Tacoma, WA
National Provider Identifier
1760802482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9600 Veterans Dr SW
A-122-SW-BLDG 148
Tacoma, WA 98493-2735 - Phone
- (253) 583-3178
- Fax
- (253) 583-3178
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | WA | Primary | |
| Clinical Social Worker | 1041C0700X | WA |
Addresses
Primary practice location
9600 Veterans Dr SW
A-122-SW-BLDG 148
Tacoma, WA 98493-2735
Mailing address
9600 Veterans Dr SW
A-122-SW-BLDG 148
Tacoma, WA 98493-2735
Phone (253) 583-3178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2837 Tandy Turn
Eugene, OR 97401-5193
Phone (458) 245-6948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Mental Health Inc. | Clinical | Current | Accepting new patients |
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": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1760802482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"address_2": "A-122-SW-BLDG 148",
"city": "TACOMA",
"state": "WA",
"postal_code": "984932735",
"telephone_number": "253-583-3178",
"fax_number": "253-589-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"address_2": "A-122-SW-BLDG 148",
"city": "TACOMA",
"state": "WA",
"postal_code": "984932735",
"telephone_number": "253-583-3178",
"fax_number": "253-583-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CHARLES",
"middle_name": "RANDALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.