Individual provider Active NPI

Alejandra Machado, LCSW

  • Clinical Social Worker
  • West Grove, PA
National Provider Identifier
1205535374
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203919 Issued in OH
Practice address
105 Vineyard Way Ste 237
West Grove, PA 19390-8849
Phone
(610) 444-7550
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 I.2203919 OH Primary

Addresses

Primary practice location

105 Vineyard Way Ste 237
West Grove, PA 19390-8849

Mailing address

1293 Bosworth SQ N
Columbus, OH 43229-1327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230814001722 PA Practitioner - Clinical Social Worker 1456713015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203919OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Health and Community Services Current Accepting new patients
LCH Health and Community Services CurrentSince May 27, 2023 Accepting new patients
LCH Health and Community Services CurrentSince May 27, 2023 Accepting new patients

Locations

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

105 Vineyard Way
Ste 103
West Grove, PA 19390
Phone (610) 444-7550

Interoperability endpoints

  • Direct secure messaging: alejandra.machado.1@27280.direct.athenahealth.com

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1205535374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 BOSWORTH SQ N",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY STE 237",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "ALEJANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.