KATHERINE LORA BLACKSTONE ALLEN LICSW, MHP, CMHS
NPI 1477785541
Social Worker - Clinical in Longview, WA

Q: What is Katherine Allen's NPI number?

The NPI number for Katherine Allen is 1477785541. It was assigned to this individual provider in the NPPES registry on August 21, 2009. The provider is also known as Katie Blackstone Licsw.

Q: What is Katherine Allen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Allen was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 21, 2009PECOS EnrolledAccepts Medicare Assignment

910 16TH AVE STE 120, LONGVIEW, WA 98632(360) 200-5419(360) 200-6736 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2020, Oct 30, 2020 (2 updates tracked since 2020).

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About Katherine Lora Blackstone Allen Licsw, Mhp, Cmhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE LORA BLACKSTONE ALLEN LICSW, MHP, CMHS (NPI 1477785541) is an individual clinical provider in Longview, Washington, licensed in Washington (LW60424218) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477785541

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHERINE LORA BLACKSTONE ALLENCredential: LICSW, MHP, CMHS

Location Address910 16TH AVE STE 120Longview, WA 98632-2374

Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736

Phone(360) 200-5419

Fax(360) 200-6736

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 21, 2009

Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2023

✔ NPI 1477785541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · LW60424218

Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X · License LW60424218 (WA)

910 16TH AVE STE 120, Longview, WA 98632

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Other Names 1

Other Name (5)Katie Blackstone Licsw

Other Identifiers 1

Medicaid2122309WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Lora Blackstone Allen Licsw, Mhp, Cmhs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133550650

PECOS Enrollment IDI20200515001379

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY RAMSAY SUDP

Counselor (Addiction (Substance Use Disorder))