Individual provider Active NPI

Alexandra Porter Lovell

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1053936278
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109381 Issued in NY
Practice address
1309 Foster Ave
Brooklyn, NY 11230-1511
Phone
(718) 282-0010
Fax
(718) 693-4490
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109381 NY Primary

Addresses

Primary practice location

1309 Foster Ave
Brooklyn, NY 11230-1511

Mailing address

472 1St St
Brooklyn, NY 11215-2606
Phone (718) 687-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523001948 NY Practitioner - Clinical Social Worker 3375985286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109381NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Center for Families in Crisis CurrentSince Apr 23, 2024 Accepting new patients

Organizations & group practices 1

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1053936278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152606",
            "telephone_number": "718-687-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301511",
            "telephone_number": "718-282-0010",
            "fax_number": "718-693-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "ALEXANDRA",
        "middle_name": "PORTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.