Individual provider Active NPI

Alexandra Elizabeth Schroll, LCSW

  • Clinical Social Worker
  • Lafayette, IN
National Provider Identifier
1447998604
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009359A Issued in IN
Practice address
615 N 18TH St Ste 104
Lafayette, IN 47904-3413
Phone
(765) 423-6939
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009359A IN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87900062A IN

Addresses

Primary practice location

615 N 18TH St Ste 104
Lafayette, IN 47904-3413

Mailing address

8705 W 550 S
Delphi, IN 46923-9327
Phone (630) 200-6087

Other identifiers 1

IdentifierTypeStateIssuer
34009359AOtherINLCSW LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220608001017 IN Practitioner - Clinical Social Worker 0345628087 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87900062AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical CurrentSince May 16, 2022 Accepting new patients
Nami West Central Indiana Inc. Addiction (Substance Use Disorder) CurrentSince Dec 1, 2024 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2045 W Grand Ave
Ste B28354
Chicago, IL 60612

701 Armory Rd
Delphi, IN 46923
Phone (765) 447-4102

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

615 N 18th St
Ste 104
Lafayette, IN 47904
Phone (765) 423-6939

2402 South St
Lafayette, IN 47904
Phone (765) 446-9229

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1447998604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 W 550 S",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469239327",
            "telephone_number": "630-200-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 18TH ST STE 104",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043413",
            "telephone_number": "765-423-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROLL",
        "first_name": "ALEXANDRA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009359A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87900062A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "34009359A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.