NPIMap

Individual provider Active NPI

Brandi Allen, LSW

  • Social Worker
  • Jackson, MS
National Provider Identifier
1831401116
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
W6600 Issued in MS
Practice address
200 N Congress St
Suite 100
Jackson, MS 39201-1902
Phone
(601) 326-3744
Fax
(601) 326-3752
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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 W6600 MS Primary

Addresses

Primary practice location

200 N Congress St
Suite 100
Jackson, MS 39201-1902

Mailing address

200 N Congress St
Suite 100
Jackson, MS 39201-1902
Phone (601) 326-3744

Other identifiers 1

IdentifierTypeStateIssuer
0016925MedicaidMS

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
W6600MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1831401116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CONGRESS ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011902",
            "telephone_number": "601-326-3744",
            "fax_number": "601-326-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CONGRESS ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011902",
            "telephone_number": "601-326-3744",
            "fax_number": "601-326-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BRANDI",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "W6600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016925",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.