Active NPI
Alexa Stanley
- Social Worker
- Springfield, IL
National Provider Identifier
1336873330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.108029
- Practice address
- 2901 Interlacken Dr
Springfield, IL 62704-4246 - Phone
- (314) 440-5881
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.108029 | IL | Primary |
Addresses
Primary practice location
2901 Interlacken Dr
Springfield, IL 62704-4246
Mailing address
2901 Interlacken Dr
Springfield, IL 62704-4246
Phone (314) 440-5881
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1336873330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 INTERLACKEN DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044246",
"telephone_number": "314-440-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 INTERLACKEN DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044246",
"telephone_number": "314-440-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "ALEXA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.108029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.