Danielle R Allen, LCSW
Individual provider Active NPI Clinical Social Worker · Fort Wayne, IN
NPI 1821528878 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1821528878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34008768A (IN)
- Practice address
- 1027 W Rudisill Blvd Ste 210
Fort Wayne, IN 46807-2160 - Phone
- (260) 750-0341
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1027 W Rudisill Blvd
Suite 210
Fort Wayne, IN 46807-2160
Phone (260) 750-0341
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200318000903 | IN | Practitioner - Clinical Social Worker | 6608204086 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008768A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danielle R Allen LCSW LLC | Clinical | Current |
Accepting new patients |
| Park Center Inc | Current |
Accepting new patients | |
| Park Center Inc | Current |
Accepting new patients |
Locations
1027 W Rudisill Blvd
Ste 210
Fort Wayne, IN 46807
Phone (260) 750-0341
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
1909 Carew St
Fort Wayne, IN 46805
Phone (260) 481-2800
909 E State Blvd
Fort Wayne, IN 46805
Phone (260) 481-2718
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008768A | IN | Yes |
Addresses
Primary practice location
1027 W Rudisill Blvd Ste 210
Fort Wayne, IN 46807-2160
Mailing address
11511 Green Holly CV
Fort Wayne, IN 46845-2018
Phone (260) 750-0341
Other providers in Fort Wayne, IN
- Allen County Family & Sports Chiropractic
- Allen County Internal Medicine PC
- Allen County OB-GYN Associates, PC
- Allen County Retinal Surgeons, P.C.
- Allen County Wellness Center LLC
- Darian Allen
- David M. Allen
- Deloris Ann Marie Allen
- Eli Bertram Allen
- Karissa Allen
All providers in Fort Wayne, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.