Daphne Allen, LCSW
Individual provider Active NPI Clinical Social Worker · Forest, VA
NPI 1972489235 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1972489235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904018820 (VA)
- Practice address
- 1292 W Crossing Dr
Forest, VA 24551-4907 - Phone
- (434) 907-1933
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Virginia Commonwealth University, School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aevum BH VA LLC
Lifebulb LLC
Practice addresses (Care Compare)
1613 Oakwood St
Bedford, VA 24523-1213
Phone (804) 446-1710
2340 Commonwealth Dr
Suite 101
Charlottesville, VA 22901-1634
Phone (732) 451-3895
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251024004270 | VA | Practitioner - Clinical Social Worker | 0244728731 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904018820 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebulb LLC | Current |
Accepting new patients | |
| Aevum BH VA LLC | Clinical | Current |
Accepting new patients |
Locations
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800
2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904018820 | VA | Yes |
Addresses
Primary practice location
1292 W Crossing Dr
Forest, VA 24551-4907
Mailing address
1292 W Crossing Dr
Forest, VA 24551-4907
Phone (434) 907-1933
Other providers in Forest, VA
- Jenna Adams
- Kari Michelle Adams
- Advanced Family Interventions LLC
- Advanced Psychotherapeutics
- Onome Agbaza
- Suzanne Alonso
- Louis Michael Alvey
- Michelle Renee Amos
- Anchor to Hope Counseling LLC
- Melissa Gail Anderson
All providers in Forest, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.