Individual provider Active NPI

Alexis Jaye Samter Sturnick, LCSW

  • Clinical Social Worker
  • Woodmere, NY
National Provider Identifier
1154742005
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096510 Issued in NY
Practice address
74 Howe CT
Woodmere, NY 11598-1310
Phone
(516) 672-8131
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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 096510 NY Primary

Addresses

Primary practice location

74 Howe CT
Woodmere, NY 11598-1310

Mailing address

74 Howe CT
Woodmere, NY 11598-1310
Phone (516) 672-8131

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

LicenseStateTypeSpecialty
096510NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Therapy LCSW PLLC Social Worker CurrentSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

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": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1154742005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 HOWE CT",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981310",
            "telephone_number": "516-672-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 HOWE CT",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981310",
            "telephone_number": "516-672-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURNICK",
        "first_name": "ALEXIS",
        "middle_name": "JAYE SAMTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.