Alexa Joy Talbert, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

91107 Issued in CA

Practice address

277 South St
Suite T
San Luis Obispo, CA 93401-5039

Phone

(805) 781-4703

Fax

(805) 781-4297

NPI assigned

Feb 1, 2017

Sex

Female

Sole proprietor

No

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 CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kendall Individual Family and Marriage Therapists Inc

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1740830389

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1326586140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST",
            "address_2": "SUITE T",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015039",
            "telephone_number": "805-781-4703",
            "fax_number": "805-781-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST",
            "address_2": "SUITE T",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015039",
            "telephone_number": "805-781-4703",
            "fax_number": "805-781-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "ALEXA",
        "middle_name": "JOY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74484",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha L. Szytel, MD
• T Dean Walker DDS Ms Inc
• Marissa Bailey Tabares
• Patti Tackett, MFT-T
• Lauren Marie Tait, M.D.
• Jacob Austin Talbert, M.S., AMFT #134105
• Ardeshir Ali Talieh, MD
• Natalee Rachele Tangen, MSW, LICSW
• Sikandra Hasnain Tank, M.D.
• Leah M Tanner, RD

• Clinical Social Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.