Individual ProviderCharis AllenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address325 Il Route 2, Dixon, IL 61021-9118(815) 284-6611(815) 718-3808PECOS EnrollmentBased on the most recent information from CMS, provider Charis Allen is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1316395346Provider TypeIndividualFull NameAllen, CharisCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date5/31/2016Last Updated6/6/2023Contact InformationPractice LocationPractice Address325 Il Route 2, Dixon, IL 61021-9118Phone(815) 284-6611FaxUnlisted FaxMailing LocationMailing Address3100 Rock Dr, Rock Falls, IL 61071-2136Phone(815) 718-3808FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.025650IllinoisCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense35231Illinois