Individual provider Active NPI

Suzanne Roeder Allen

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1841066560
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016094 Issued in NC
Practice address
112 Rock Ledge Dr
Chapel Hill, NC 27516-9827
Phone
(919) 260-6435
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C016094 NC Primary

Addresses

Primary practice location

112 Rock Ledge Dr
Chapel Hill, NC 27516-9827

Mailing address

112 Rock Ledge Dr
Chapel Hill, NC 27516-9827
Phone (919) 260-6435

Other practice location 1

4 Consultant Pl Ste B
Durham, NC 27707-6338
Phone (919) 260-6435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240304004050 NC Practitioner - Clinical Social Worker 1951746643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Consultant PL
Suite B
Durham, NC 27707-6338
Phone (919) 260-6435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Roeder Allen, PLLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

4 Consultant Pl
Ste B
Durham, NC 27707
Phone (919) 260-6435

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1841066560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROCK LEDGE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169827",
            "telephone_number": "919-260-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ROCK LEDGE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169827",
            "telephone_number": "919-260-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Consultant Pl Ste B",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277076338",
            "country_code": "US",
            "telephone_number": "919-260-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SUZANNE",
        "middle_name": "ROEDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.