Individual provider Active NPI

Allison Bender, MSW, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1912526591
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8951-123 Issued in WI
Practice address
1334 Dewey CT
Madison, WI 53703-3019
Phone
(608) 250-6634
Fax
(608) 250-6637
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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 8951-123 WI Primary

Addresses

Primary practice location

1334 Dewey CT
Madison, WI 53703-3019

Mailing address

1334 Dewey CT
Madison, WI 53703-3019
Phone (608) 250-6634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20220611000356 WI Practitioner - Clinical Social Worker 7315325842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2002 Atwood Ave
Suite 224
Madison, WI 53704-5382
Phone (608) 879-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8951-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strengths-Focused Therapy, LLC Clinical Current Accepting new patients
Rise Wisconsin Inc. CurrentSince Aug 30, 2020 Accepting new patients

Locations

1334 Dewey Ct
Madison, WI 53703
Phone (608) 210-0111

Organizations & group practices 3

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1912526591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 DEWEY CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033019",
            "telephone_number": "608-250-6634",
            "fax_number": "608-250-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 DEWEY CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033019",
            "telephone_number": "608-250-6634",
            "fax_number": "608-250-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "ALLISON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8951-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.