Individual provider Active NPI

Alexandra Daggett

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1225517857
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107006 Issued in NY
Practice address
57 Saint Marks PL
New York, NY 10003-7902
Phone
(212) 982-3470
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 Worker 1041C0700X 107006 NY Primary

Addresses

Primary practice location

57 Saint Marks PL
New York, NY 10003-7902

Mailing address

57 Saint Marks PL
New York, NY 10003-7902
Phone (973) 671-8816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260422002846 NY Practitioner - Clinical Social Worker 2769959147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mark'S Place Institute for Mental Health IncGroup PAC ID 4688565740, 17 clinicians

Practice addresses (Care Compare)

57 Saint Marks PL
New York, NY 10003-7902
Phone (212) 982-3470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107006NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Fifth Avenue Counseling Center, Inc. PastSince Jun 1, 2002 Accepting new patients

Organizations & group practices 2

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1225517857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SAINT MARKS PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037902",
            "telephone_number": "973-671-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SAINT MARKS PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037902",
            "telephone_number": "212-982-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "107006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.