Alexandria Theordor, MSW, LCSW, CBIS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05799200 Issued in NJ

Practice address

37 Boston Post Rd
East Brunswick, NJ 08816-2610

Phone

(908) 379-8110

NPI assigned

Jan 20, 2020

Reactivated

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEECD

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.

• Healthcareserv

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iselin, NJ
  • NPI 1619589017
  NPD (past)
• The Howard Center for Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iselin, NJ
  • NPI 1710460381
  NPD (past)

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1396375218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BOSTON POST RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162610",
            "telephone_number": "908-379-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BOSTON POST RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162610",
            "telephone_number": "908-379-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEORDOR",
        "first_name": "ALEXANDRIA",
        "credential": "MSW, LCSW, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "deactivation_date": "2020-03-25",
        "reactivation_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05799200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Stop & Shop Supermarket Company, LLC
• The Urology Group of Central New Jersey
• Their Place Inc.
• Their Place Inc.
• Their Place Inc.
• Theracorp, LLC
• Therapeutics Unlimited Health and Wellness, LLC
• Therapeutics Unlimited Inc
• Philip J. Therrien
• Pritinder Thind, M.D.

• Clinical Social Worker in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.