Alexandra Marie Moeller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

240 N Milwaukee St Ste 202
Milwaukee, WI 53202-5830

Phone

(920) 621-9029

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Be the Change Global Wellness, Corp

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1396490637
  Medicare reassignment NPD
• Be the Change Health and Wellness, LLC

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1659991727
  Medicare reassignment NPD
• Bell Therapy, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Milwaukee, WI
  • NPI 1205987187
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1194273888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N MILWAUKEE ST STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025830",
            "telephone_number": "920-621-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N MILWAUKEE ST STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025830",
            "telephone_number": "920-621-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-11-13",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130301-121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "130301-121",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE - CLINICAL",
            "identifier": "9314-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Modrell, PHARMD
• David C Moe, MD
• Jenna Moe, AA
• Hillary Marie Moeckler
• Laurie Ellen Moeckler, MSW-CISW
• Stacey Moeller
• Lindsey Moelter
• Andrew Moen, DPT
• Greg Moen, DC
• Thomas C Moen, RN

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.