RUSSELL ALLEN — NPI 1619814928 (Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical in SPRINGFIELD, MA)

CMS-1500 Box 24J / 33a • NPI

1619814928

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

332 BIRNIE AVE, SPRINGFIELD, MA, 01107-1106

✓ 9-Digit EDI 837 ZIP+4 (01107-1106)

Practice Phone & Referral Fax

(844) 243-4357

Fax: (413) 451-0037

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619814928 (RUSSELL ALLEN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619814928` (NPI-1 Individual Practitioner)
Provider / Legal Name	RUSSELL ALLEN
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	332 BIRNIE AVE, SPRINGFIELD, MA, 01107-1106
Practice Telephone / Fax	Tel: (844) 243-4357 \| Fax: (413) 451-0037
Administrative Mailing Address	1109 GRANBY RD, CHICOPEE, MA, 01020-1568
Enumeration & Last Sync	Enumerated: 2026-05-04 \| CMS Record Updated: 2026-05-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

332 BIRNIE AVE, SPRINGFIELD, MA, 01107-1106

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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RUSSELL ALLEN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: MA \| License: `2141613` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RUSSELL ALLEN (NPI #1619814928)