Jessica Pegeen Allen, LCSW is a
Social Worker - Clinical based in Saint Louis, Missouri. Jessica Pegeen Allen is licensed to practice in Missouri (license number 2003026254) and her current practice location is
620 N Grand Blvd, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 934-9456.
NPI number for Jessica Pegeen Allen is 1730204892 and her current mailing address is 1430 Olive St Ste 400, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730204892.
Healthcare Provider's Profile
| Full Name | Jessica Pegeen Allen |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 620 N Grand Blvd, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730204892
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 11/12/2020
Medical Identifiers
Medical identifiers for Jessica Pegeen Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730204892 | NPI | - | NPPES |
| 499150308 | Medicaid | MO | |
| 2003026254 | Other | MO | LCSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 2003026254 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2003026254 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Pegeen Allen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Pegeen Allen, LCSW
1430 Olive St Ste 400,
Saint Louis, MO 63103-2303
Ph: (314) 206-3700 | Jessica Pegeen Allen, LCSW
620 N Grand Blvd,
Saint Louis, MO 63103-1009
Ph: (314) 934-9456 |
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