Individual provider Active NPI

Alice Psirakis, LMSW

  • Social Worker
  • Fort Dix, NJ
National Provider Identifier
1346212198
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
059660 Issued in NY
Practice address
5250 New Jersey Ave
Fort Dix, NJ 08640-5017
Phone
(609) 562-3141
Fax
(609) 562-4935
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 059660 NY Primary

Addresses

Primary practice location

5250 New Jersey Ave
Fort Dix, NJ 08640-5017

Mailing address

8701 Midland Pkwy
3D
Jamaica, NY 11432-4751
Phone (347) 731-1546

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
059660NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346212198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MIDLAND PKWY",
            "address_2": "3D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324751",
            "telephone_number": "347-731-1546",
            "fax_number": "609-562-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 NEW JERSEY AVE",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "086405017",
            "telephone_number": "609-562-3141",
            "fax_number": "609-562-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSIRAKIS",
        "first_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "059660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dix, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.