Individual provider Active NPI

Kristin O'Lexy, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1336511203
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05593400 Issued in NJ
Practice address
1060 Kings Hwy N
Suite 309
Cherry Hill, NJ 08034-1910
Phone
(609) 206-1375
NPI assigned
Oct 30, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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 44SC05593400 NJ Primary

Addresses

Primary practice location

1060 Kings Hwy N
Suite 309
Cherry Hill, NJ 08034-1910

Mailing address

2 William Ave
Marlton, NJ 08053-2340
Phone (609) 206-1375

Other names 1

  • Kristin Pragle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05593400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Core Counseling South Jersey, LLC Past Accepting new patients

Organizations & group practices 1

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1336511203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLIAM AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532340",
            "telephone_number": "609-206-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 KINGS HWY N",
            "address_2": "SUITE 309",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341910",
            "telephone_number": "609-206-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEXY",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05593400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "PRAGLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.