Alexis Deanna McDonald, LCMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091301 Issued in MI

Practice address

25900 Greenfield Rd Ste 503
Oak Park, MI 48237-1893

Phone

(313) 402-4570

Fax

(313) 781-0389

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Living Well Home Services LLC

  • Clinical Social Worker
  • Oak Park, MI
  • NPI 1225450760
  Medicare reassignment NPD Authorized official
• Living Well Behavioral Health PLLC

  • Clinical Social Worker
  • Oak Park, MI
  • NPI 1487441861
  NPD Authorized official

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1316373798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 503",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371893",
            "telephone_number": "313-402-4570",
            "fax_number": "313-781-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 503",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371893",
            "telephone_number": "313-402-4570",
            "fax_number": "313-781-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ALEXIS",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LCMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken D Maynard
• Mays Property Management
• Natasha McClendon
• Lashonda McCollum, FNP-BC
• Willie McCullough
• Michelle Maree McGarrity, MA LLP
• Charles Richard McLeod, D.D.S.
• Timothy Edward McPhail, LLMSW
• Meadow Oaks Home Care LLC
• Meadowbrook Home Health Care, Inc.

• Clinical Social Worker in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.