Active NPI
Lexie Marie Trudeau, MSW
- Social Worker
- Navarre, FL
National Provider Identifier
1235713819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW13743
- Practice address
- 6744 Flintwood St
Navarre, FL 32566-8694 - Phone
- (603) 521-4813
- NPI assigned
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW13743 | FL | Primary |
Addresses
Primary practice location
6744 Flintwood St
Navarre, FL 32566-8694
Mailing address
2131 S Eastgate Ave
Springfield, MO 65809-2146
Phone (855) 755-3797
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW13743 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paraclete Ministey Group, LLC | 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": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1235713819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 S EASTGATE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658092146",
"telephone_number": "855-755-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6744 FLINTWOOD ST",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325668694",
"telephone_number": "603-521-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEAU",
"first_name": "LEXIE",
"middle_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW13743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.