Individual provider Active NPI

Sandra Lea Allen, M.S., L.I.S.W-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1851663413
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0007021 Issued in OH
Practice address
3506 Boudinot Ave
Suite 100
Cincinnati, OH 45211-5726
Phone
(513) 481-2384
Fax
(513) 481-4472
NPI assigned
Jan 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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 I 0007021 OH Primary

Addresses

Primary practice location

3506 Boudinot Ave
Suite 100
Cincinnati, OH 45211-5726

Mailing address

3506 Boudinot Ave
Suite 100
Cincinnati, OH 45211-5726
Phone (513) 481-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170530002109 OH Practitioner - Clinical Social Worker 7911274659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Pathways LLCGroup PAC ID 8820075880, 3 clinicians

Practice addresses (Care Compare)

800 Compton Rd
Unit 11
Cincinnati, OH 45231-3846
Phone (513) 521-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
I 0007021OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Past Accepting new patients
Positive Pathways LLC Past Accepting new patients
Norcen Behavioral Health Systems Past Accepting new patients
Iris a. Pfeffer&Associates Clinical PastSince Jun 1, 2017 Accepting new patients

Organizations & group practices 4

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": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327795200000",
    "number": "1851663413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 BOUDINOT AVE",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115726",
            "telephone_number": "513-481-2384",
            "fax_number": "513-481-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 BOUDINOT AVE",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115726",
            "telephone_number": "513-481-2384",
            "fax_number": "513-481-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SANDRA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "M.S., L.I.S.W-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-29",
        "last_updated": "2012-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0007021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.