Individual provider Active NPI

Alexis T Schonrog, LICSW

  • Clinical Social Worker
  • Wakefield, RI
National Provider Identifier
1255486841
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01848 Issued in RI
Practice address
23 North Rd Ste A34
Wakefield, RI 02879-8108
Phone
(401) 741-8206
NPI assigned
Jan 24, 2007
Last updated
Mar 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01848 RI Primary

Addresses

Primary practice location

23 North Rd Ste A34
Wakefield, RI 02879-8108

Mailing address

45B Buckeye Brook Rd
Charlestown, RI 02813-2702
Phone (401) 741-8206

Other practice location 1

45B Buckeye Brook Rd
Charlestown, RI 02813-2702
Phone (401) 741-8206

Other identifiers 1

IdentifierTypeStateIssuer
AD51685MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000305 RI Practitioner - Clinical Social Worker 8426020751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare Inc CurrentSince Jul 18, 2022 Accepting new patients
South Shore Center Inc Clinical PastSince Dec 21, 2009 Accepting new patients

Locations

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

1 Virginia Ave
Ste 200
Providence, RI 02905

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100

593 Eddy St
Providence, RI 02903

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1255486841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45B BUCKEYE BROOK RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132702",
            "telephone_number": "401-741-8206",
            "fax_number": "401-596-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH RD STE A34",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028798108",
            "telephone_number": "401-741-8206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45B Buckeye Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "RI",
            "postal_code": "028132702",
            "country_code": "US",
            "telephone_number": "401-741-8206",
            "fax_number": "866-387-6480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHONROG",
        "first_name": "ALEXIS",
        "middle_name": "T",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD51685",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.