Individual provider Active NPI

Alexandra Garfunkel Corrado, MSW, LICSW

  • Clinical Social Worker
  • Chelmsford, MA
National Provider Identifier
1144629122
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
227 Chelmsford St Ste C
Chelmsford, MA 01824-2305
Phone
(781) 801-8493
NPI assigned
Aug 15, 2014
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

227 Chelmsford St Ste C
Chelmsford, MA 01824-2305

Mailing address

227 Chelmsford St Ste C
Chelmsford, MA 01824-2305
Phone (781) 801-8493

Other practice location 1

56 Framingham Rd
Marlborough, MA 01752-3260
Phone (508) 481-8077 ext. 215

Other names 1

  • Sasha Garfunkel Corrado Professional name

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

LicenseStateTypeSpecialty
2126NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eating Disorders Management PastSince Jul 28, 2020 Accepting new patients
Jri Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1144629122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CHELMSFORD ST STE C",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242305",
            "telephone_number": "781-801-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CHELMSFORD ST STE C",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242305",
            "telephone_number": "781-801-8493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Framingham Rd",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017523260",
            "country_code": "US",
            "telephone_number": "508-481-8077 x215",
            "fax_number": "508-481-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRADO",
        "first_name": "ALEXANDRA",
        "middle_name": "GARFUNKEL",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "CORRADO",
            "middle_name": "GARFUNKEL",
            "credential": "MSW, LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.