Dominick Charles Allen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. He graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
4212 Se Division St Ste 100, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 238-0705.
Dominick Charles Allen is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1205267838.
Healthcare Provider's Profile
| Full Name | Dominick Charles Allen |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 4212 Se Division St Ste 100, Portland, Oregon |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dominick Charles Allen graduated from medical school in 2019
NPI Data:
- NPI Number: 1205267838
- Provider Enumeration Date: 12/08/2013
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719346840
- Enrollment ID: I20250827003809
Medical Identifiers
Medical identifiers for Dominick Charles Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205267838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Dominick Charles Allen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dominick Charles Allen, LCSW
Po Box 8459,
Portland, OR 97207-8459
Ph: () - | Dominick Charles Allen, LCSW
4212 Se Division St Ste 100,
Portland, OR 97206-1680
Ph: (503) 238-0705 |
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