Alexandra Backis, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

72 088102 Issued in NY

Practice address

1751 Park Ave
Bailey House
New York, NY 10035-2831

Phone

(212) 289-6008

NPI assigned

Sep 7, 2011

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 29, 2019 through Oct 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wanderlust Therapy Chicago, LLC

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1518713155
  NPD Authorized official
• Bailey House Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1568009041
  NPD (past)
• Chicago Compass Counseling, LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1043754567
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1104107911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WILLOUGHBY AVE",
            "address_2": "3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 PARK AVE",
            "address_2": "BAILEY HOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352831",
            "telephone_number": "212-289-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKIS",
        "first_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72 088102",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Sports Physical Therapy, P.C.
• Michelle Back
• Amy Backes, BCBA, LBA-NY
• Jill Backfield-Weiss, PHD
• Philipp Backhaus, MD
• Ester Backman, O.T.
• Margaret Backman
• Scott H Backofen, PT
• Megan Renee Backus, LMT
• Ryan Baclit

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.