Active NPI
Judith Suzanne Alexander, L.C.S.W.
- Clinical Social Worker
- Takoma Park, MD
National Provider Identifier
1164614293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03635
- Practice address
- 7 Cleveland Ave
Takoma Park, MD 20912-4123 - Phone
- (301) 588-7258
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 03635 | MD | Primary |
Addresses
Primary practice location
7 Cleveland Ave
Takoma Park, MD 20912-4123
Mailing address
7 Cleveland Ave
Takoma Park, MD 20912-4123
Phone (301) 588-7258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111228000505 | DC | Practitioner - Clinical Social Worker | 8628244415 | Practice locations: Takoma Park, MD |
| I20160818002279 | CA | Practitioner - Clinical Social Worker | 8628244415 | Practice locations: Berkeley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1310 Burnett St
Apt a
Berkeley, CA 94702-2468
Phone (301) 768-2433
1310 Burnett St Apt a
Berkeley, CA 94702-2468
7307 Baltimore Ave
Takoma Park, MD 20912-4137
Phone (301) 768-2433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25468 | CA | MD | Counseling Psychologist |
| 03635 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1164614293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CLEVELAND AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124123",
"telephone_number": "301-588-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CLEVELAND AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124123",
"telephone_number": "301-588-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JUDITH",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "03635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.