Individual provider Active NPI

Alexander Danilowicz, LCSW, CADC

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1255881975
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012860 Issued in NC
Practice address
311 N 2ND St Ste 2
Wilmington, NC 28401-3955
Phone
(910) 240-2333
NPI assigned
Oct 5, 2016
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C012860 NC Primary
Clinical Social Worker 1041C0700X C-10616 NM

Addresses

Primary practice location

311 N 2ND St Ste 2
Wilmington, NC 28401-3955

Mailing address

311 N 2ND St Ste 2
Wilmington, NC 28401-3955
Phone (919) 610-4230

Other practice location 1

522 Camway Dr
Wilmington, NC 28403-3416
Phone (919) 610-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220504000266 NC Practitioner - Clinical Social Worker 2769879139 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 N 2ND St
Suite 2
Wilmington, NC 28401-3955
Phone (910) 240-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-10616NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Being in Process, PLLC Clinical CurrentSince Jun 11, 2023 Accepting new patients

Locations

311 N 2nd St
Ste 2
Wilmington, NC 28401
Phone (336) 587-6856

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, 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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1255881975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST STE 2",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013955",
            "telephone_number": "919-610-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST STE 2",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013955",
            "telephone_number": "910-240-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 Camway Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284033416",
            "country_code": "US",
            "telephone_number": "919-610-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANILOWICZ",
        "first_name": "ALEXANDER",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012860",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.