Individual provider Active NPI

Judith Suzanne Alexander, L.C.S.W.

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1164614293
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03635 Issued in MD
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

Updated by the provider on Aug 13, 2007

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 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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25468CAMDCounseling Psychologist
03635MDMDClinical 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

Verify at the official NPI Registry.