Individual provider Active NPI

Alexandria Deborah Leigh Kreie-Yang, LCSW

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1346077294
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11825-123 Issued in WI
Practice address
601 Memory Ave
Green Bay, WI 54301-2228
Phone
(715) 432-8942
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 11825-123 WI Primary

Addresses

Primary practice location

601 Memory Ave
Green Bay, WI 54301-2228

Mailing address

601 Memory Ave
Green Bay, WI 54301-2228
Phone (715) 432-8942

Other names 1

  • Ms. Alexandria Deborah Leigh Kreie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20241220000878 WI Practitioner - Clinical Social Worker 0941737548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LK Anderson Consulting LLCGroup PAC ID 8325489438, 11 clinicians

Practice addresses (Care Compare)

325 N Commercial St
Neenah, WI 54956-2665
Phone (920) 725-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LK Anderson Consulting LLC CurrentSince Oct 22, 2024 Accepting new patients
Radiology Associates of the Fox Valley, SC PastSince Oct 22, 2024 Accepting new patients

Locations

325 N Commercial St
Neenah, WI 54956
Phone (920) 722-1583

145 W Wisconsin Ave
Ste D
Neenah, WI 54956

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1346077294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012228",
            "telephone_number": "715-432-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEMORY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012228",
            "telephone_number": "715-432-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIE-YANG",
        "first_name": "ALEXANDRIA",
        "middle_name": "DEBORAH LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11825-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "KREIE",
            "middle_name": "DEBORAH LEIGH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.