Clyde Alexander, PH.D, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801059815 Issued in MI

Practice address

43996 Woodward Avenue
Suite 102
Bloomfield Hills, MI 48302

Phone

(248) 335-1711

Fax

(248) 335-7950

NPI assigned

May 1, 2007

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifelens Psychological and Counseling ServicesGroup PAC ID 0143544320, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifelens Psychological and Counseling Services

  • Psychologist
  • Waterford, MI
  • NPI 1083015499

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Safa Consulting Services

  • Community/Behavioral Health Agency
  • Pontiac, MI
  • NPI 1992935308
  NPD (past) Authorized official
• Debora L. Ferguson, M.D.

  • Psychiatry Physician
  • Bloomfield Hills, MI
  • NPI 1811166762
  NPD (past)
• Woodward Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Pontiac, MI
  • NPI 1568556579
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1356562177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4787 SHORELINE BLVD.",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48329",
            "telephone_number": "248-499-3655",
            "fax_number": "248-383-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVENUE",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-335-1711",
            "fax_number": "248-335-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801059815",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6801059815",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801059815",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaa Owainati MD PC
• Carolyn Ann Alaimo, PHD
• Jawad Alam, D.C.
• Waseem Alam, MD
• Ziad Alame, TLLP
• Alexandra Peri D.D.S. PLLC (MI-nt Dental)
• Masa Alhawasli, DDS
• Mahmuda Ali, NP
• Alin Alias, DDS
• All Home Care Services, LLC

• Social Worker in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.