Brittany Jo Allen, LMSW
Individual provider Active NPI Social Worker · Fort Dodge, IA
NPI 1801539986 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1801539986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 111842 (IA)
- Practice address
- 126 N 10TH St
Fort Dodge, IA 50501-3915 - Phone
- (515) 576-6500
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111842 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Fort Dodge, Inc. | Current |
Accepting new patients |
Locations
126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500
404 N Federal Ave
Mason City, IA 50401
Phone (641) 450-0601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111842 | IA | Yes |
Addresses
Primary practice location
126 N 10TH St
Fort Dodge, IA 50501-3915
Mailing address
126 N 10TH St
Fort Dodge, IA 50501-3915
Phone (515) 576-6500
Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.