Active NPI
Alexis Marion Nivens, LMSW
- Social Worker
- Valley Stream, NY
National Provider Identifier
1265868350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 078364
- Practice address
- 50 W Hawthorne Ave
Valley Stream, NY 11580-6220 - Phone
- (516) 569-6600
- NPI assigned
- Sep 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078364 | NY | Primary |
Addresses
Primary practice location
50 W Hawthorne Ave
Valley Stream, NY 11580-6220
Mailing address
20935 86TH Dr
Apt 2G
Queens Village, NY 11427-1539
Phone (718) 791-9372
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
| License | State | Type | Specialty |
|---|---|---|---|
| 078364 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1265868350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20935 86TH DR",
"address_2": "APT 2G",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271539",
"telephone_number": "718-791-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W HAWTHORNE AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806220",
"telephone_number": "516-569-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIVENS",
"first_name": "ALEXIS",
"middle_name": "MARION",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.