Active NPI
Alexis Proctor, LCSW
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1144100744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009754
- Practice address
- 1807 Fenwick Village Dr
Savannah, GA 31419-8459 - Phone
- (912) 266-9838
- NPI assigned
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
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 | CSW009754 | GA | Primary |
Addresses
Primary practice location
1807 Fenwick Village Dr
Savannah, GA 31419-8459
Mailing address
1807 Fenwick Village Dr
Savannah, GA 31419-8459
Phone (912) 266-9838
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW009754 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1144100744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 FENWICK VILLAGE DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198459",
"telephone_number": "912-266-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 FENWICK VILLAGE DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198459",
"telephone_number": "912-266-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "ALEXIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
- Martin S. Pritzker, M.D.
- Private Healthcare Facilities
- Privia Medical Group of Georgia LLC
- Privia Medical Group of Georgia LLC
- Procare Wellness Network Inc
- Sean Jason Proctor, PT
- Professional Optical Services
- Professional Optical Services
- Professional Pathology of Wyoming
- Prosthetic Circle of Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.