Individual provider Active NPI

Alexandra Brye Patton, MSW, LCSW

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1053768531
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011837 Issued in NC
Practice address
2339 Timber Dr Ste 214
Garner, NC 27529-2518
Phone
(919) 813-0926
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 C011837 NC Primary

Addresses

Primary practice location

2339 Timber Dr Ste 214
Garner, NC 27529-2518

Mailing address

2339 Timber Dr Ste 214
Garner, NC 27529-2518
Phone (919) 813-0926

Other practice location 1

5850 Fayetteville Rd Ste 211
Durham, NC 27713-6289
Phone (919) 294-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 14, 2023 through Dec 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C011837NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sojourner Counseling, PLLC Clinical CurrentSince Sep 17, 2023 Accepting new patients
Greenlee Psychological and Support Services, PLLC Past Accepting new patients

Locations

2339 Timber Dr
Ste 214
Garner, NC 27529
Phone (919) 813-0926

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1053768531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 TIMBER DR STE 214",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292518",
            "telephone_number": "919-813-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 TIMBER DR STE 214",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292518",
            "telephone_number": "919-813-0926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Fayetteville Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136289",
            "country_code": "US",
            "telephone_number": "919-294-8981",
            "fax_number": "919-999-2497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ALEXANDRA",
        "middle_name": "BRYE",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.