Individual provider Active NPI

Alexandra Paige Shank

  • Social Worker
  • Midland, MI
National Provider Identifier
1407526809
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851118263 Issued in MI
Practice address
5103 Eastman Ave Ste 241
Midland, MI 48640-6797
Phone
(989) 432-0592
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 6851118263 MI Primary

Addresses

Primary practice location

5103 Eastman Ave Ste 241
Midland, MI 48640-6797

Mailing address

5103 Eastman Ave Ste 241
Midland, MI 48640-6797
Phone (989) 423-0592

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
6851118263MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Therapy and Consulting CurrentSince Nov 30, 2025 Accepting new patients
Spectrum Autism Center LLC PastSince Sep 1, 2021 Accepting new patients
Spectrum Autism Center Behavior Technician PastSince Sep 1, 2021 Accepting new patients

Locations

5103 Eastman Ave
Ste 241
Midland, MI 48640
Phone (989) 423-0179

Organizations & group practices 3

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1407526809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 241",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406797",
            "telephone_number": "989-423-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 241",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406797",
            "telephone_number": "989-432-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "ALEXANDRA",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851118263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.