Active NPI
Alexandra Tomaszewski, LCSW
- Clinical Social Worker
- Sikeston, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2019024782
- Practice address
- 200 Southland Dr
Sikeston, MO 63801-4403 - Phone
- (573) 472-1770
- Fax
- (573) 472-4050
- NPI assigned
- Feb 3, 2017
- Last updated
- Apr 7, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2019024782 | MO | Primary |
Addresses
Primary practice location
200 Southland Dr
Sikeston, MO 63801-4403
Mailing address
875 State Route VV
Kennett, MO 63857-9108
Phone (573) 888-5925
Other practice location 1
760 Plantation Blvd
Sikeston, MO 63801-5736
Phone (573) 471-0800 ext. 227
Other practice location 2
421 Semo Dr
New Madrid, MO 63869-1733
Phone (573) 748-2592
Other practice location 3
875 State Route Vv
Kennett, MO 63857-9108
Phone (573) 888-5925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490072190 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019024782 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Current | Accepting new patients | |
| Family Counseling Center, Inc. | Current | Accepting new patients |
Locations
875 State Route VV
Kennett, MO 63857
Phone (573) 559-2380
5 Sugar Creek Rd
Piedmont, MO 63957
Phone (573) 223-4169
3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 785-7453
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.
-
dba FCC Primary Care
- Primary Care Clinic/Center
- Poplar Bluff, MO
- NPI 1235738493
-
- Community/Behavioral Health Agency
- Kennett, MO
- NPI 1669477550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1447798020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 STATE ROUTE VV",
"city": "KENNETT",
"state": "MO",
"postal_code": "638579108",
"telephone_number": "573-888-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOUTHLAND DR",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014403",
"telephone_number": "573-472-1770",
"fax_number": "573-472-4050"
}
],
"practiceLocations": [
{
"address_1": "760 Plantation Blvd",
"address_purpose": "LOCATION",
"city": "Sikeston",
"state": "MO",
"postal_code": "638015736",
"country_code": "US",
"telephone_number": "573-471-0800 x227",
"fax_number": "573-471-5740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Semo Dr",
"address_purpose": "LOCATION",
"city": "New Madrid",
"state": "MO",
"postal_code": "638691733",
"country_code": "US",
"telephone_number": "573-748-2592",
"fax_number": "573-748-2673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 State Route Vv",
"address_purpose": "LOCATION",
"city": "Kennett",
"state": "MO",
"postal_code": "638579108",
"country_code": "US",
"telephone_number": "573-888-5925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMASZEWSKI",
"first_name": "ALEXANDRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-03",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2019024782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490072190",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.