Individual provider Active NPI

Alexandra Tomaszewski, LCSW

  • Clinical Social Worker
  • Sikeston, MO
National Provider Identifier
1447798020
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019024782 Issued in MO
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
490072190MedicaidMO

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019024782MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. CurrentSince Apr 5, 2021 Accepting new patients
Family Counseling Center, Inc. CurrentSince Apr 5, 2021 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.

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

Verify at the official NPI Registry.