Alexis True Wilburn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015351 Issued in PA

Practice address

18 Mystic LN
Malvern, PA 19355-1942

Phone

(610) 716-3979

NPI assigned

Jan 12, 2007

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

Medicare fee-for-service enrollment

Enrolled in PA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ali Wilburn LCSW LLC

  • Clinical Social Worker
  • Malvern, PA
  • NPI 1609256973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1093865602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GROVEHILL CT",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351292",
            "telephone_number": "610-716-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MYSTIC LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551942",
            "telephone_number": "610-716-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Grovehill Ct",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193351292",
            "country_code": "US",
            "telephone_number": "610-716-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "ALEXIS",
        "middle_name": "TRUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rebecca Weisenberg, MPT
• Jennifer Welch, PHARMD
• Danielle West
• Cynthia Anne Westrich, MA ATR BC LPC
• Whole You Chiropratic and Wellness Spa LLC
• Kimberlee J Williams-Park, DO
• Tamra Williams, PH.D.
• Whitney Wilson, LPC
• Wingate Plastic Surgery, PLLC (Wingate Plastic Surgery)
• Kevin Mathew Witkoski

• Clinical Social Worker in Malvern, PA
• Providers in Malvern, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.