Alexandria Evaleen Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118554 Issued in CA

Practice address

10815 Rancho Bernardo Rd Ste 380
San Diego, CA 92127-5724

Phone

(858) 279-1223

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alexandria Evaleen Gonzalez Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pacific Coast Psychiatric Associates Inc

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465

  CA

  Medicare reassignment Care Compare group NPD
• Mental Health Systems, Inc.

  • Adult Mental Health Clinic/Center
  • Oceanside, CA
  • NPI 1598847055
  NPD (past)
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1720745169
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1073042735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 RANCHO BERNARDO RD STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 RANCHO BERNARDO RD STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275724",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9445 Farnham St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231399",
            "country_code": "US",
            "telephone_number": "877-698-7838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Mission Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587110",
            "country_code": "US",
            "telephone_number": "760-712-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3609 Ocean Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920562698",
            "country_code": "US",
            "telephone_number": "760-418-4611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3609 Ocean Ranch Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920562700",
            "country_code": "US",
            "telephone_number": "760-418-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDRIA",
        "middle_name": "EVALEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-06-26",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "GONZALEZ",
            "middle_name": "EVALEEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aleta Smith
• Alexander Smith
• Alexandra Smith
• Alexandra Smith
• Alexandra Taylor Smith
• Alexis Cole Smith, LCSW
• Alicia Coker Smith, DO
• Allison Smith
• Alyssa Smith
• Amanda Smith

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.