Active NPI
Alexander Bailey Lane, LCSW
- Clinical Social Worker
- Lakeland, FL
National Provider Identifier
1104058569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14232
- Practice address
- 2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660 - Phone
- (638) 606-8097
- NPI assigned
- Aug 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14232 | FL | Primary |
Addresses
Primary practice location
2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660
Mailing address
620 W Shady LN
Lakeland, FL 33803-2052
Phone (207) 347-9904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14232 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal, LLC | Clinical | Current | Accepting new patients |
Locations
2033 E Edgewood Dr
Ste 4
Lakeland, FL 33803
Phone (863) 255-0297
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.
-
- Clinical Social Worker
- Lakeland, FL
- NPI 1508509720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1104058569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W SHADY LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032052",
"telephone_number": "207-347-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 E EDGEWOOD DR STE 4",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033660",
"telephone_number": "638-606-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ALEXANDER",
"middle_name": "BAILEY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-19",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.