Active NPI
Alexis Acca
- Social Worker
- New York, NY
National Provider Identifier
1417735408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 121231-01
- Practice address
- 145 E 32ND St
New York, NY 10016-6066 - Phone
- (212) 779-9207
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 121231-01 | NY | Primary |
Addresses
Primary practice location
145 E 32ND St
New York, NY 10016-6066
Mailing address
250 E 63Rd St Apt 17C
New York, NY 10065-7616
Phone (845) 641-0196
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 |
|---|---|---|---|
| 121231-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1417735408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E 63RD ST APT 17C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657616",
"telephone_number": "845-641-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E 32ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166066",
"telephone_number": "212-779-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACCA",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "121231-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.