Alex Felix Minick, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116182 Issued in CA

Practice address

950 S Bascom Ave Ste 1014
San Jose, CA 95128-3537

Phone

(408) 290-4790

NPI assigned

Nov 1, 2024

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jacob'S Ladder Therapies

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1558124594
  NPD

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1326861055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 N 10TH ST # NA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123216",
            "telephone_number": "510-909-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE STE 1014",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283537",
            "telephone_number": "408-290-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICK",
        "first_name": "ALEX",
        "middle_name": "FELIX",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Mingrone
• Minh Nhat Le OD, Inc.
• Minh Tran Chiropractic, PC
• Minh'S Wheelchair Specialist Corporation
• Navjot Kaur Minhas, MD
• Minimally Invasive Surgical Solutions Medical Corporation
• Amritha Raghunath Minisandram, DMD
• Ingrid Milena Minkin
• Anu Minocha, B.D.S.
• Jordan Minor

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, 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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.