Active NPI
Alexis Dove McCrohan, LCSW
- Clinical Social Worker
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW024755
- Practice address
- 255 S 17TH St
Philadelphia, PA 19103-6231 - Phone
- (610) 892-3800
- NPI assigned
- May 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 222374 | MA | |
| Clinical Social Worker | 1041C0700X | CW024755 | PA | Primary |
Addresses
Primary practice location
255 S 17TH St
Philadelphia, PA 19103-6231
Mailing address
1070 Smith St
North Dighton, MA 02764-1935
Phone (508) 837-0789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222374 | Other | MA | BOARD OF SOCIAL WORKERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 S 17TH St
Suite 2304
Philadelphia, PA 19103-6223
Phone (610) 892-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222374 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Professional Services, Inc | Current | Accepting new patients | |
| Child and Family Psychological Services, PLLC | Clinical | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
175 Paramount Dr
Unit 204
Raynham, MA 02767
Phone (774) 221-5800
169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766
255 S 17th St
Ste 2304
Philadelphia, PA 19103
Phone (267) 639-5901
780 E Market St
West Chester, PA 19382
Phone (425) 908-0237
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Media, PA
- NPI 1952485864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1285299438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 SMITH ST",
"city": "NORTH DIGHTON",
"state": "MA",
"postal_code": "027641935",
"telephone_number": "508-837-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231",
"telephone_number": "610-892-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROHAN",
"first_name": "ALEXIS",
"middle_name": "DOVE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "222374",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW024755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SOCIAL WORKERS",
"identifier": "222374",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.