Individual provider Active NPI

Jody A. Mastroianni-Allen, LCSW

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1821135740
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW71463 Issued in CA
Practice address
1521 Shattuck Ave Unit 9358
Berkeley, CA 94709-9019
Phone
(213) 709-4267
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077945-1 NY
Clinical Social Worker 1041C0700X LCSW71463 CA Primary

Addresses

Primary practice location

1521 Shattuck Ave Unit 9358
Berkeley, CA 94709-9019

Mailing address

1521 Shattuck Ave Unit 9358
Berkeley, CA 94709-9019
Phone (213) 709-4267

Other names 1

  • Ms. Jody Allen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191021002465 CA Practitioner - Clinical Social Worker 9032394713 Practice locations: Berkeley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Berkeley, CA 94703
Phone (424) 372-7687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW71463CAMDClinical Social Worker
077945-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1821135740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 SHATTUCK AVE UNIT 9358",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947099019",
            "telephone_number": "213-709-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 SHATTUCK AVE UNIT 9358",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947099019",
            "telephone_number": "213-709-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROIANNI-ALLEN",
        "first_name": "JODY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077945-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW71463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "ALLEN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.