Alexis Marie Pederson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-23701 Issued in AZ

Practice address

1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766

Phone

(480) 801-6688

NPI assigned

Jul 6, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1245158534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W MARLIN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867060",
            "telephone_number": "480-789-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E MCKELLIPS RD STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032766",
            "telephone_number": "480-801-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landry L Pebler, LPC
• Leslie A. Pechkurow, PC
• Svetlana Pedenko, M.D.
• Amber Pedersen
• Kailey M Pedersen, MT-BC
• Pediatric Medical Associates
• Diane Pedretti, LPC
• Katelyn Peek, DPT
• Hanna J Peeples, CCC-SLP
• Peer Outreach Recovery & Reentry Services

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.