Individual provider Active NPI

Alexandria Patrick, DSW, LCSW

  • Clinical Social Worker
  • Mt Pleasant, PA
National Provider Identifier
1407227333
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020214 Issued in PA
Practice address
89 Liberty St
Mount Pleasant, PA 15666-1663
Phone
(412) 820-1010
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW130407 PA
Clinical Social Worker 1041C0700X CW020214 PA Primary

Addresses

Primary practice location

89 Liberty St
Mount Pleasant, PA 15666-1663

Mailing address

102 Passavant Way
Pittsburgh, PA 15238-1318
Phone (412) 820-1015

Other practice location 1

163 Thorn Hill Rd
Warrendale, PA 15086-7527
Phone (412) 820-1015 ext. 520

Other identifiers 1

IdentifierTypeStateIssuer
SW130407MedicaidPA

Other names 1

  • Alexandria Bohner Former name

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
SW130407PAMDMental Health Counselor
CW020214PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Invivaspan Health, Inc CurrentSince Jan 7, 2024 Accepting new patients
Passavant Memorial Homes Past Accepting new patients

Locations

102 Passavant Way
Pittsburgh, PA 15238
Phone (412) 820-1010

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1407227333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PASSAVANT WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381318",
            "telephone_number": "412-820-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LIBERTY ST",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661663",
            "telephone_number": "412-820-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Thorn Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Warrendale",
            "state": "PA",
            "postal_code": "150867527",
            "country_code": "US",
            "telephone_number": "412-820-1015 x520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "ALEXANDRIA",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW130407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW130407",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "BOHNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.