Individual provider Active NPI

Alexis Romanow, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1043572795
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW 113924 Issued in MA
Practice address
49 Hillside St
Corrigan Mental Health Center
Fall River, MA 02720-5211
Phone
(508) 235-7222
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW 113924 MA Primary

Addresses

Primary practice location

49 Hillside St
Corrigan Mental Health Center
Fall River, MA 02720-5211

Mailing address

49 Hillside St
Corrigan Mental Health Center
Fall River, MA 02720-5211
Phone (508) 235-7222

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW 113924MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1043572795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HILLSIDE ST",
            "address_2": "CORRIGAN MENTAL HEALTH CENTER",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205211",
            "telephone_number": "508-235-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HILLSIDE ST",
            "address_2": "CORRIGAN MENTAL HEALTH CENTER",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205211",
            "telephone_number": "508-235-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOW",
        "first_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW 113924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.