Individual provider Active NPI

Jessica Allen

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1821508581
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0800553 Issued in OH
Practice address
219 Odeon St Ofc 26
Cincinnati, OH 45202-7095
Phone
(513) 354-5200
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0800553 OH Primary

Addresses

Primary practice location

219 Odeon St Ofc 26
Cincinnati, OH 45202-7095

Mailing address

219 Odeon St Ofc 26
Cincinnati, OH 45202-7095

Other practice location 1

1088 Wasserman Way Ste C
Batavia, OH 45103-1974
Phone (513) 354-5200

Other identifiers 1

IdentifierTypeStateIssuer
S.0800553OtherOHLSW

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
S.0800553OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1821508581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ODEON ST OFC 26",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ODEON ST OFC 26",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027095",
            "telephone_number": "513-354-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 Wasserman Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "OH",
            "postal_code": "451031974",
            "country_code": "US",
            "telephone_number": "513-354-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0800553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "S.0800553",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.