Individual provider Active NPI

Alexandra Kariyannis

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1174007017
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094606 Issued in NY
Practice address
225 Broadway FL 34
New York, NY 10007-3055
Phone
(347) 391-4205
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 104471 NY
Clinical Social Worker 1041C0700X 094606 NY Primary

Addresses

Primary practice location

225 Broadway FL 34
New York, NY 10007-3055

Mailing address

11 Broadway Ste 615
New York, NY 10004-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230615000951 NY Practitioner - Clinical Social Worker 2466810981 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104471NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lana Gaiton Psychological Services, PC Single Specialty CurrentSince Jun 5, 2023 Accepting new patients
Animo Sano Psychiatry PLLC Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Aristotle Psychological and Biofeedback Services PLLC. Clinical PastSince Jun 1, 2013 Accepting new patients

Locations

5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202

2502 86th St
Fl 3
Brooklyn, NY 11214
Phone (347) 391-4205

510 Clinton Sq
Ofc 509
Rochester, NY 14604

Organizations & group practices 3

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1174007017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 615",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY FL 34",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073055",
            "telephone_number": "347-391-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIYANNIS",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.