Active NPI
Alexandra Dominique Mason Ceaser
- Clinical Social Worker
- Perry, GA
National Provider Identifier
1386316883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007761
- Practice address
- 103 Country Breeze CT
Perry, GA 31069-8408 - Phone
- (773) 301-9874
- NPI assigned
- Oct 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007761 | GA | Primary |
Addresses
Primary practice location
103 Country Breeze CT
Perry, GA 31069-8408
Mailing address
103 Country Breeze CT
Perry, GA 31069-8408
Phone (773) 301-9874
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW007761 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633132800000",
"number": "1386316883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COUNTRY BREEZE CT",
"city": "PERRY",
"state": "GA",
"postal_code": "310698408",
"telephone_number": "773-301-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COUNTRY BREEZE CT",
"city": "PERRY",
"state": "GA",
"postal_code": "310698408",
"telephone_number": "773-301-9874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON CEASER",
"first_name": "ALEXANDRA",
"middle_name": "DOMINIQUE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-02",
"last_updated": "2021-10-02",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.