Individual provider Active NPI

Alexandra Strauss Tomback

  • Social Worker
  • New York, NY
National Provider Identifier
1245803873
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113138 Issued in NY
Practice address
286 5TH Ave FL 7
New York, NY 10001-4512
Phone
(917) 597-4886
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Clinical Social Worker 1041C0700X
Social Worker 104100000X 113138 NY Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

286 5TH Ave FL 7
New York, NY 10001-4512

Mailing address

2248 Broadway # 1125
New York, NY 10024-5805

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
113138NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Therapy LCSW PLLC Clinical CurrentSince Mar 17, 2024 Accepting new patients

Locations

286 5th Ave
Fl 7
New York, NY 10001
Phone (212) 481-1860

2248 Broadway
New York, NY 10024
Phone (917) 410-0223

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1245803873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 BROADWAY # 1125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 5TH AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014512",
            "telephone_number": "917-597-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBACK",
        "first_name": "ALEXANDRA",
        "middle_name": "STRAUSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113138",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.