Nicole Allen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017120 Issued in IL

Practice address

800 S McHenry Ave
Suite F
Crystal Lake, IL 60014-7487

Phone

(815) 526-3750

Fax

(815) 526-3440

NPI assigned

Dec 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicoleallen@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Center for Emotional Wellness of the Northwest Suburbs

  • Clinical Social Worker
  • Johnsburg, IL
  • NPI 1972972891
  NPD (past)

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1831632256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE",
            "address_2": "SUITE F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-526-3750",
            "fax_number": "815-526-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE",
            "address_2": "SUITE F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-526-3750",
            "fax_number": "815-526-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Align Spine & Orthopaedics
• Richard A Allan, LCPC
• Barbara Allegretti, D.C.
• Jill Lynette Allen, PSY.D.
• Kelly Allen
• Allerclinic,LTD.
• Allergy & Asthma Associates LTD
• Erica Allred
• Altiora Pediatric Services,Inc.
• Jeana Altman, LCPC

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.