Leah Allen, LCSW, CADC

Individual provider Active NPI Clinical Social Worker · Bend, OR

NPI 1891088514 · NPPES record last updated May 17, 2022

Key facts

NPI
1891088514
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
L6789 (OR)
Practice address
63485 N Highway 97 # 1012C
Bend, OR 97703-6877
Phone
(312) 523-9234
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Allen LCSW LLC Clinical Current
since Jun 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L6789 OR Yes

Addresses

Primary practice location

63485 N Highway 97 # 1012C
Bend, OR 97703-6877

Mailing address

63485 N Highway 97 # 1012C
Bend, OR 97703-6877
Phone (312) 523-9234

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address leah@newmooncounselingcollective.com

Other providers in Bend, OR

All providers in Bend, OR · Clinical Social Worker in Oregon

Sources for this page

Verify at the official NPI Registry.