Alexis Bennett, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21758 Issued in MN

Practice address

6906 Painte Circle
Edina, MN 55439

Phone

(612) 508-0704

NPI assigned

Apr 5, 2016

Last updated

Jul 13, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orka Health and Wellness PLLCGroup PAC ID 9830595545, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Orka Health and Wellness, PLLC

  • Clinical Social Worker
  • Edina, MN
  • NPI 1144896465
  Medicare reassignment Care Compare group NPD
• Looma

  • Psychologist
  • Edina, MN
  • NPI 1306538244
  NPD

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1114381258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 PAIUTE CIR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554391031",
            "telephone_number": "612-508-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 PAINTE CIRCLE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "612-508-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ALEXIS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belonging Psychotherapy PLLC
• John Michael Benda, LICSW
• Gail Papermaster Bender, M.D.
• Kaitlyn Benert, LPCC
• Paul L. Benn, M.D.
• Stephen D Bennett, MD
• Steven R Bennett, MD
• Susan W Bennett, M.D.
• Claire Benoist, RDN
• Emily Benson, MSW, LICSW, SEP

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.