Individual provider Active NPI

Alexandria Lafaye, MSW, LCSW

  • Clinical Social Worker
  • Marion, IL
National Provider Identifier
1306411103
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029083 Issued in IL
Practice address
1307 W Main St
Marion, IL 62959-1139
Phone
(618) 997-5336
Fax
(618) 993-2969
NPI assigned
May 24, 2021
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 149.029083 IL Primary

Addresses

Primary practice location

1307 W Main St
Marion, IL 62959-1139

Mailing address

902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483

Other names 1

  • Robbyn Lafaye Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250417002083 IL Practitioner - Clinical Social Worker 4082139449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Illinois IncGroup PAC ID 2961545173, 44 clinicians

Practice addresses (Care Compare)

1307 W Main St
Marion, IL 62959-1139
Phone (618) 997-5336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.029083ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Illinois, Inc CurrentSince Mar 24, 2025 Accepting new patients
Centerstone of Illinois, Inc CurrentSince Mar 24, 2025 Accepting new patients

Locations

2615 Edwards St
Alton, IL 62002
Phone (618) 462-2331

1307 W Main St
Marion, IL 62959
Phone (618) 997-5336

902 W Main St
West Frankfort, IL 62896
Phone 6189376483 ext. 7565

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, 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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1306411103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962210",
            "telephone_number": "618-937-6483",
            "fax_number": "618-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591139",
            "telephone_number": "618-997-5336",
            "fax_number": "618-993-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAYE",
        "first_name": "ALEXANDRIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBBYN",
            "last_name": "LAFAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.