Active NPI
Alexis Monique Jinks, CASAC T
- Social Worker
- Hicksville, NY
National Provider Identifier
1013631050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 124355
- Practice address
- 180 Broadway
Hicksville, NY 11801-4230 - Phone
- (516) 935-6858
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 124355 | NY | Primary |
Addresses
Primary practice location
180 Broadway
Hicksville, NY 11801-4230
Mailing address
180 Broadway
Hicksville, NY 11801-4230
Phone (516) 935-6858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124355 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1013631050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014230",
"telephone_number": "516-935-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014230",
"telephone_number": "516-935-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JINKS",
"first_name": "ALEXIS",
"middle_name": "MONIQUE",
"credential": "CASAC T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "124355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.