Individual provider Active NPI

Alexandria Zegers, LSW

  • Social Worker
  • Fishers, IN
National Provider Identifier
1427710045
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
99104689A Issued in IN
Practice address
11956 Fishers Crossing Dr
Fishers, IN 46038-2702
Phone
(317) 842-5555
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 99104689A IN Primary

Addresses

Primary practice location

11956 Fishers Crossing Dr
Fishers, IN 46038-2702

Mailing address

307 S Market St
Thorntown, IN 46071-1315
Phone (765) 280-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240926002350 NC Practitioner - Clinical Social Worker 3678014958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Olive Tree Family Counseling, PLLCGroup PAC ID 3274979612, 11 clinicians

Practice addresses (Care Compare)

1301 McCarthy Blvd
Suite B
New Bern, NC 28562-2033
Phone (252) 649-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99104689AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Family Counseling, PLLC CurrentSince Oct 23, 2024 Accepting new patients
Butterfly Wishes Therapy PLLC CurrentSince Aug 30, 2024 Accepting new patients
Harmony Medical Associates LLC PastSince Oct 17, 2021 Accepting new patients

Locations

1301 McCarthy Blvd
#B
New Bern, NC 28562
Phone (252) 649-2728

2800 Neuse Blvd
Ste 10
New Bern, NC 28562
Phone (252) 285-4726

112 Market St
New Bern, NC 28560
Phone (252) 649-2728

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1427710045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MARKET ST",
            "city": "THORNTOWN",
            "state": "IN",
            "postal_code": "460711315",
            "telephone_number": "765-280-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11956 FISHERS CROSSING DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382702",
            "telephone_number": "317-842-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGERS",
        "first_name": "ALEXANDRIA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99104689A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.