Individual provider Active NPI

Renee Yoelin-Allen, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1912055401
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992247 Issued in CO
Practice address
5555 Erindale Dr Ste 203
Colorado Springs, CO 80918-6965
Phone
(719) 550-8756
Fax
(719) 596-3296
NPI assigned
Jan 8, 2007
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 992247 CO Primary

Addresses

Primary practice location

5555 Erindale Dr Ste 203
Colorado Springs, CO 80918-6965

Mailing address

5555 Erindale Dr Ste 203
Colorado Springs, CO 80918-6965
Phone (719) 550-8756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2026 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
992247COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rya Therapy-Consultation Clinical Current Accepting new patients

Locations

5555 Erindale Dr
Ste 203
Colorado Springs, CO 80918
Phone (719) 213-0742

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1912055401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 ERINDALE DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186965",
            "telephone_number": "719-550-8756",
            "fax_number": "719-596-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ERINDALE DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186965",
            "telephone_number": "719-550-8756",
            "fax_number": "719-596-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOELIN-ALLEN",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.