Alexis Deanna Joondeph-Breidbart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097853 Issued in NY

Practice address

7 Club Way
Mount Kisco, NY 10549-4502

Phone

(914) 242-8594

NPI assigned

Sep 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1255948964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOCUST RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703309",
            "telephone_number": "914-292-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CLUB WAY",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105494502",
            "telephone_number": "914-242-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOONDEPH-BREIDBART",
        "first_name": "ALEXIS",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097853",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S. Mazella, M.D., P.C.
• Jerel John
• Valerie Johnstone, CSWR
• Elizabeth Ann Joline, CCC-SLP
• Pauline M. Jones, FNP
• Catherine Mary Jopp, RN
• Kevin P Jordan, MD
• Joseph C. Bottino, MD PC
• Nancy Joseph, RN
• Juliet Lingerie & Swimwear, LLC

• Clinical Social Worker in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.