Active NPI
Carrie Marie Allen, MSW, LCSW, LICSW
- Clinical Social Worker
- Landisville, PA
National Provider Identifier
1790371862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 75548
- Practice address
- 368 N Homestead Dr
Landisville, PA 17538-1376 - Phone
- (949) 338-9859
- NPI assigned
- Dec 14, 2020
- Last updated
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020751 | PA | |
| Clinical Social Worker | 1041C0700X | LC50082712 | DC | |
| Clinical Social Worker | 1041C0700X | 75548 | CA | Primary |
Addresses
Primary practice location
368 N Homestead Dr
Landisville, PA 17538-1376
Mailing address
368 N Homestead Dr
Landisville, PA 17538-1376
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082712 | DC | MD | Clinical Social Worker |
| CW020751 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1790371862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 N HOMESTEAD DR",
"city": "LANDISVILLE",
"state": "PA",
"postal_code": "175381376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 N HOMESTEAD DR",
"city": "LANDISVILLE",
"state": "PA",
"postal_code": "175381376",
"telephone_number": "949-338-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CARRIE",
"middle_name": "MARIE",
"credential": "MSW, LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020751",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082712",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "75548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landisville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.