Individual provider Active NPI

Alexandria Nicolai

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1093003287
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22647 Issued in CA
Practice address
900 23Rd St NW
Case Management Office
Washington, DC 20037-2342
Phone
(202) 715-6092
NPI assigned
Jul 21, 2011
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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 LCS22647 CA Primary

Addresses

Primary practice location

900 23Rd St NW
Case Management Office
Washington, DC 20037-2342

Mailing address

900 23Rd St NW
Case Management Office
Washington, DC 20037-2342
Phone (202) 715-6092

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230713002359 CA Practitioner - Clinical Social Worker 3072973742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22647CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Health of California, PC CurrentSince Jun 3, 2023 Accepting new patients

Locations

400 Concar Dr
San Mateo, CA 94402
Phone (650) 456-5777

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

Interoperability endpoints

  • Direct secure messaging: alexandria.nicolai.1@15578.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1093003287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "address_2": "CASE MANAGEMENT OFFICE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "address_2": "CASE MANAGEMENT OFFICE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAI",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.