Active NPI
Alexandra Elizabeth Schroll, LCSW
- Clinical Social Worker
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009359A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34009359A | Other | IN | LCSW 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87900062A | IN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current | Accepting new patients |
| Nami West Central Indiana Inc. | Addiction (Substance Use Disorder) | Current | 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.
-
- Community/Behavioral Health Agency
- Lafayette, IN
- NPI 1083430557
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.