Individual provider Active NPI

Alejandra Mejia, LCSW

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1215678370
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW-19799 Issued in FL
Practice address
4245 S Pine Island Rd
Davie, FL 33328-2834
Phone
(754) 457-4392
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW-19799 FL Primary

Addresses

Primary practice location

4245 S Pine Island Rd
Davie, FL 33328-2834

Mailing address

4245 S Pine Island Rd
Davie, FL 33328-2834
Phone (754) 457-4392

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Davie
CONNECT URL Davie
CONNECT URL Davie

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220711002509 FL Practitioner - Clinical Social Worker 4486034261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW-19799FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Single Specialty CurrentSince Aug 22, 2022 Accepting new patients
A & B Counseling Services LLC Single Specialty CurrentSince Dec 6, 2024 Accepting new patients
A & B Counseling LLC PastSince Dec 6, 2024 Accepting new patients

Locations

14645 NW 77th Ave
Ste 101
Miami Lakes, FL 33014
Phone (786) 785-9033

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1215678370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282834",
            "telephone_number": "754-457-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282834",
            "telephone_number": "754-457-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "ALEJANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-19799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Davie",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Davie",
            "address_1": "4245 S Pine Island Rd",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333282834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Davie",
            "affiliation": "N",
            "address_1": "4245 S Pine Island Rd",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333282834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Davie",
            "affiliation": "N",
            "address_1": "4245 S Pine Island Rd",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333282834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.