Individual ProviderHeidi AllenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address400 N Washington St Ste 130b, Farmington, MO 63640-1716(573) 535-9398PECOS EnrollmentBased on the most recent information from CMS, provider Heidi 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 11:13 AM.Profile DetailsProvider ID1598201527Provider TypeIndividualFull NameAllen, HeidiCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/14/2017Last Updated2/12/2021Contact InformationPractice LocationPractice Address400 N Washington St Ste 130b, Farmington, MO 63640-1716Phone(573) 535-9398FaxUnlisted FaxMailing LocationMailing Address7455 Sprott Rd, Sainte Genevieve, MO 63670-8223Phone(573) 535-9398FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2013040830Missouri