Active NPI
Alexandra M Miller
- Clinical Social Worker
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116708
- Practice address
- 20 Wall St
Burlington, MA 01803-4758 - Phone
- (781) 221-2650
- Fax
- (781) 221-2510
- NPI assigned
- Jun 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 116708 | MA | Primary |
Addresses
Primary practice location
20 Wall St
Burlington, MA 01803-4758
Mailing address
20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Brookline PL
Suite 321
Brookline, MA 02445-7237
Phone (716) 646-0500
2300 Crown Colony Dr
Suite 202
Quincy, MA 02169-0902
Phone (781) 551-0999
288 Walnut St
Suite 220
Newton, MA 02460-1994
Phone (617) 552-5116
89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116708 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Mental Health | Current | Accepting new patients |
Locations
288 Walnut St
Ste 220
Newtonville, MA 02460
Phone (617) 552-5116
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766
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": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1184850265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WALL ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034758",
"telephone_number": "781-221-2650",
"fax_number": "781-221-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WALL ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034758",
"telephone_number": "781-221-2650",
"fax_number": "781-221-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALEXANDRA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.