Look up the most recent NPI and PECOS records

Stacey Lyn Allen

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as STACEY ALLEN.

Based on the most recent information from CMS, provider Stacey Lyn Allen is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134459548
Provider Type
Individual
Full Name
Allen, Stacey Lyn
Credential
CSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/6/2010
Last Updated
6/25/2025

Contact Information

Practice Location

1675 Curlew Dr, Ammon, ID 83406-4718

(208) 523-5319

Unlisted Fax

Mailing Location

PO Box 2106, Idaho Falls, ID 83403-2106

(208) 360-2850

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 35279 Idaho
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License LMSW-30182 Idaho
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License LMSW-30182 Idaho
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License LMSW-30182 Idaho
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License LMSW-30182 Idaho

Stacey Lyn Allen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Whitten, Kaylene Marie

Schneider, Dale Allen

Toldson, Stephanie

P'Pool, Valerie Ann

Wilkerson, Megann

Ramsdell, Vanessa

Mcmanus, Amy Yaeger

Balance And Renewal Pllc

Goodson, Kristy Diane

Homer, David Charles