Individual provider Active NPI

Alexa Briana Crismon, ACSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1225819378
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104564 Issued in CA
Practice address
3801 3Rd St Ste 400
San Francisco, CA 94124-1409
Phone
(415) 970-3875
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 104564 CA Primary

Addresses

Primary practice location

3801 3Rd St Ste 400
San Francisco, CA 94124-1409

Mailing address

97 Bellevue Ave Unit a
Daly City, CA 94014-1423
Phone (818) 270-7684

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
104564CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1225819378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BELLEVUE AVE UNIT A",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141423",
            "telephone_number": "818-270-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 3RD ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241409",
            "telephone_number": "415-970-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMON",
        "first_name": "ALEXA",
        "middle_name": "BRIANA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.