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Deactivated NPI 1609587914 Deactivated / Inactive NPI Male Practitioner

Eric Allen , LCSW, CADC

Social Worker - Clinical • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eric Allen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2022
NPI Deactivation Date December 20, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Eric Allen, LCSW, CADC was a registered Social Worker - Clinical practicing in Chicago, IL. Throughout an active medical career spanning 1 years, Eric Allen provided care at the practice location at 1715 E 95TH ST until profile deactivation on 2023-12-20.

Practice Location & Contact Primary Location

Practice Address

1715 E 95th St

Chicago, IL 606174708

Telephone 3312513126
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.2 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
4456 Specialists

Practicing in Chicago, IL (14000 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149.016944

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
NPI 1003445248

Doctor of Osteopathic Medicine (D.O.)

Dr. Rene Roberts , MD

Family Medicine

NPI 1073894283

Doctor of Medicine (M.D.)

Patricia Gomez

Social Worker - Clinical

NPI 1093428955
Dymond Long , APN, FNP-BC

Nurse Practitioner - Family

NPI 1114463049

Advanced Practice Nurse, Family Nurse Practitioner (Board Certified)

Rebecca Murray , LCSW

Social Worker - Clinical

NPI 1134557473

Licensed Clinical Social Worker

Rebecca Shah , APN-CNP

Nurse Practitioner

NPI 1164129458

APNCNP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 20, 2023

Record deactivated on December 20, 2023

NPI Profile Active December 07, 2022

NPI status registered as active in NPPES database

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Updated Practice Location December 07, 2022

Registered at 1715 E 95TH ST, CHICAGO, IL 606174708 (Tel: 3312513126)

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Updated Business Mailing Address December 07, 2022

Registered at 98 MACARTHUR DR APT 4814, WILLOWBROOK, IL 605271997 (Tel: 5205485992)

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Provider Name / Credentials Updated December 07, 2022

Recorded as ERIC ALLEN, LCSW, CADC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2022

Social Worker (License #149.016944 in IL)

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Initial NPI Registration & Enumeration December 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609587914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2022
Last Update: December 07, 2022
Deactivation Date: December 20, 2023

Mailing Address

98 Macarthur Dr Apt 4814

Willowbrook, IL 605271997

Phone: 5205485992

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.