Individual provider Active NPI

Alexa Kay Bryner, LSW

  • Social Worker
  • Mt Pleasant Mills, PA
National Provider Identifier
1407333750
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135336 Issued in PA
Practice address
8638 Route 104 Ste 10
Mount Pleasant Mills, PA 17853-8753
Phone
(717) 856-0220
NPI assigned
Jul 19, 2018
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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 SW135336 PA Primary

Addresses

Primary practice location

8638 Route 104 Ste 10
Mount Pleasant Mills, PA 17853-8753

Mailing address

51 Sunshine Cir
Lewistown, PA 17044-9275
Phone (570) 809-6479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20210303000948 PA Practitioner - Clinical Social Worker 8729494570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

13193 Ferguson Valley Rd
Yeagertown, PA 17099-9629
Phone (814) 342-5678

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135336PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Two Trails Mental Health and Wellness Center, LLC Past Accepting new patients

Locations

50 Bigler Rd
Woodland, PA 16881

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

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1407333750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SUNSHINE CIR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170449275",
            "telephone_number": "570-809-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 ROUTE 104 STE 10",
            "city": "MOUNT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "178538753",
            "telephone_number": "717-856-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNER",
        "first_name": "ALEXA",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant Mills, PA

Sources for this page

Verify at the official NPI Registry.