Alexa Roe, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000122647 Issued in MA

Practice address

137 Newbury St
Boston, MA 02116-2912

Phone

(978) 505-9800

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alexa Roe Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Collaborative Wellness Solutions LLC

  • Clinical Social Worker
  • Charlestown, MA
  • NPI 1124793195
  NPD Authorized official

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1235775982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLARENDON ST APT 304",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166138",
            "telephone_number": "978-505-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162912",
            "telephone_number": "978-505-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "ALEXA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000223252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000122647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATION OF SOCIAL WORK BOARDS",
            "identifier": "000122647",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "137 Newbury St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021162912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "ROE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Richard Rodriguez, MD
• Xavier Rodriguez
• Samuel T. Rodriguez,, MD
• Finora Mary Rodriques
• Stephanie Rodway, PT, DPT
• Eugene Roe, MD
• Nancy Roe, OTR/L
• Kathryn Mary Roeder, PHD
• John Roefaro, PHARMD
• Michael H. Roehrl, MD, PHD

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.