JUSTIN ALLEN (MSW, LICSW) – Clinical Social Worker, NPI 1629593504
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,310 CLINICAL SOCIAL WORKER in MN
Provider Addresses for JUSTIN ALLEN (MSW, LICSW)
3300 County Road 10 Ste 204B
Brooklyn Center, MN 554293072
Phone: (612) 824-8115
Fax: (763) 273-8892
Type: Location
7401 Metro Blvd Ste 250
Edina, MN 554393062
Phone: (612) 268-5858
Type: Location
6600 France Ave S Ste 230
Edina, MN 554351810
Phone: (952) 460-9016
Type: Location
7551 9th St N Ste 100
Oakdale, MN 551286628
Phone: (612) 268-5858
Type: Location
France Avenue South, Edina, Hennepin County, Minnesota, 55431, United States
EDINA, MN 554351810
Phone: (952) 460-9016
Type: Location
8550 HUDSON BLVD N
LAKE ELMO, MN 550425500
Phone: (651) 254-8580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240112002711 | I | Clinical Social Worker | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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