Individual provider Active NPI

Alexandria Deanna Washington

  • Social Worker
  • Denver, CO
National Provider Identifier
1205342201
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW.0009925855 Issued in CO
Practice address
1525 S Holly St Apt 210
Denver, CO 80222-3956
Phone
(702) 721-1177
Fax
(702) 721-1177
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X
Rehabilitation Practitioner 225400000X
Social Worker 104100000X LSW.0009925855 CO Primary

Addresses

Primary practice location

1525 S Holly St Apt 210
Denver, CO 80222-3956

Mailing address

805 N Beech St Ste 2
Tallulah, LA 71282-3809
Phone (318) 493-5147

Other practice location 1

805 N Beech St Ste 2
Tallulah, LA 71282-3809
Phone (318) 493-5147

Other practice location 2

4580 S Eastern Ave Ste 33
Las Vegas, NV 89119-6100
Phone (702) 882-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009925855COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1205342201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N BEECH ST STE 2",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-493-5147",
            "fax_number": "318-493-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S HOLLY ST APT 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223956",
            "telephone_number": "702-721-1177",
            "fax_number": "702-721-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 N Beech St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tallulah",
            "state": "LA",
            "postal_code": "712823809",
            "country_code": "US",
            "telephone_number": "318-493-5147",
            "fax_number": "318-493-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4580 S Eastern Ave Ste 33",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196100",
            "country_code": "US",
            "telephone_number": "702-882-7827",
            "fax_number": "702-940-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ALEXANDRIA",
        "middle_name": "DEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009925855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.