Active NPI
Alexandra Funchess, LCSW
- Clinical Social Worker
- Sugar Land, TX
National Provider Identifier
1235287962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50460
- Practice address
- 101 Southwestern Blvd
Suite 113
Sugar Land, TX 77478-3668 - Phone
- (713) 825-6974
- Fax
- (281) 242-0111
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50460 | TX | Primary |
Addresses
Primary practice location
101 Southwestern Blvd
Suite 113
Sugar Land, TX 77478-3668
Mailing address
6907 Elm Trace Dr
Sugar Land, TX 77479-6031
Phone (713) 825-6974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB160213 | Other | TX | MEDICARE PTAN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medicine Center LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1235287962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6907 ELM TRACE DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796031",
"telephone_number": "713-825-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD",
"address_2": "SUITE 113",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783668",
"telephone_number": "713-825-6974",
"fax_number": "281-242-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNCHESS",
"first_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "50460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "TXB160213",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.