Individual provider Active NPI

Shawna Bearden-Allagas, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1972276426
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7592 Issued in TN
Practice address
1200 Peabody Ave
Memphis, TN 38104-4506
Phone
(901) 707-6861
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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 7592 TN Primary

Addresses

Primary practice location

1200 Peabody Ave
Memphis, TN 38104-4506

Mailing address

2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 567-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220726000395 TN Practitioner - Clinical Social Worker 0244611002 Reassigns benefits to 3 organizations
I20260617001286 NC Practitioner - Clinical Social Worker 0244611002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7592TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince May 26, 2023 Accepting new patients
Alliance Healthcare Services Clinical CurrentSince Apr 16, 2022 Accepting new patients
Alliance Healthcare Services CurrentSince Apr 16, 2022 Accepting new patients

Locations

1310 E Main St
Chattanooga, TN 37404

1200 Peabody Ave
Memphis, TN 38104
Phone (901) 272-0003

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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, 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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1972276426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276662",
            "telephone_number": "901-567-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044506",
            "telephone_number": "901-707-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN-ALLAGAS",
        "first_name": "SHAWNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.