Individual provider Active NPI

Alexandra Michelle Weisbrot, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1154601110
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084481 Issued in NY
Practice address
2115 Wisconsin Ave NW
Washington, DC 20007-2265
Phone
(301) 717-2878
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 084481 NY Primary

Addresses

Primary practice location

2115 Wisconsin Ave NW
Washington, DC 20007-2265

Mailing address

509 Decatur St NW
Washington, DC 20011-4746
Phone (301) 717-2878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20211104000561 DC Practitioner - Clinical Social Worker 8820486285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084481NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Counseling Group, PLLC Clinical CurrentSince Nov 19, 2023 Accepting new patients
MGMC, LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 13, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2025 Accepting new patients
MGMC LLC CurrentSince Sep 13, 2021 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

2115 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 444-8531

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1154601110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DECATUR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114746",
            "telephone_number": "301-717-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072265",
            "telephone_number": "301-717-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROT",
        "first_name": "ALEXANDRA",
        "middle_name": "MICHELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.