Individual provider Active NPI

Louis Allen II, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1790228302
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801079188 Issued in MI
Practice address
6720 Michael Dr
Troy, MI 48098-1710
Phone
(313) 942-5931
Fax
(248) 729-7106
NPI assigned
Nov 30, 2016
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 6801079188 MI Primary
School Social Worker 1041S0200X 6801079188 MI
Behavior Technician 106S00000X 6801079188 MI

Addresses

Primary practice location

6720 Michael Dr
Troy, MI 48098-1710

Mailing address

6720 Michael Dr
Troy, MI 48098-1710
Phone (313) 942-5931

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801079188MIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Counseling Therapeutic Services Current Accepting new patients
Restorative Counseling Services Clinical Current Accepting new patients

Locations

29100 Northwestern Hwy
Ste 120
Southfield, MI 48034

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1790228302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 MICHAEL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981710",
            "telephone_number": "313-942-5931",
            "fax_number": "248-729-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 MICHAEL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981710",
            "telephone_number": "313-942-5931",
            "fax_number": "248-729-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079188",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801079188",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "6801079188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.